| Doctor Name: | MARC A. CLACHKO |
| NPI Number: | 1417919622 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 25MA02692200 |
| Business Practice Address: | 130 Kinderkamack Rd Suite 300 River Edge, NJ - 076611939 |
| Business Phone Number: | 2014892727 |
| Business Fax Number: | 2014895040 |
| Mailing Address: | 452 Old Hook Rd, 2nd Floor EMERSON |
| State: | NJ |
| Postal Code: | 076301381 |
| Phone Number: | 2016663900 |
| Fax Number: | 2012610505 |
| NPI Enumeration Date: | 04/04/2006 |
| NPI Last Update Date: | 07/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 25MA02692200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |