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CAROLYN A CLARK M.D.
NPI 1699757252
Pediatrics in Bristol, CT

Active since November 18, 2005
43 ENTERPRISE DR, BRISTOL, CT 06010(860) 589-5230(860) 589-5297 Get Directions Write a Review

NPPES record last updated: October 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carolyn A Clark M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN A CLARK M.D. (NPI 1699757252) is an individual pediatrics provider in Bristol, Connecticut, licensed in Connecticut (036138) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1699757252
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCAROLYN A CLARKCredential: M.D.
Location Address43 ENTERPRISE DRBristol, CT 06010-7457
Mailing Address43 Enterprise DrBristol, CT 06010-7457 · (860) 589-5230 · Fax (860) 589-5297
Phone(860) 589-5230
Fax(860) 589-5297
Sole ProprietorNo
Enumeration DateNovember 18, 2005
Last NPPES UpdateOctober 8, 2015
✔ NPI 1699757252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CT · 036138
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
43 ENTERPRISE DR, Bristol, CT 06010
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Other Identifiers 2

Medicare UPING54022
Medicaid001361386CT

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN GLASSER MD
Pediatrics
43 ENTERPRISE DR
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 589-5230
BRYAN R HOLLAND MD
Pediatrics
43 ENTERPRISE DR
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 589-5230
JULIE E SCHIFF MD
Pediatrics
43 ENTERPRISE DR
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 589-5230
RUTH ALISON LOOMIS MD
Pediatrics
43 ENTERPRISE DR
BRISTOL, CT 06010
Naugatuck Valley Planning Region (860) 589-5230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Clark's NPI number?

The NPI number for Carolyn Clark is 1699757252. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Carolyn Clark located?

Carolyn Clark practices at 43 Enterprise Dr, Bristol, CT 06010. The listed phone number is (860) 589-5230.

What is Carolyn Clark's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Carolyn Clark was last updated on October 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.