Doctor Name: | DR. TAMETA ROSETTE CLARK |
NPI Number: | 1952571143 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | D75864 |
Business Practice Address: | 8824 Cunningham Dr Suite D Berwyn Heights, MD - 207402338 |
Business Phone Number: | 2409650800 |
Business Fax Number: | 2402900037 |
Mailing Address: | 11350 Mccormick Rd, Executive Plaza 1, Suite 501 HUNT VALLEY |
State: | MD |
Postal Code: | 210311002 |
Phone Number: | 2409650800 |
Fax Number: | 2402900037 |
NPI Enumeration Date: | 03/04/2008 |
NPI Last Update Date: | 09/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207LP2900X |
License Number: | D75864 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Anesthesiology |
Taxonomy Specialization: | Pain Medicine |
Taxonomy Definition: | An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |