Healthcare Provider Details

I. General information

NPI: 1780826321
Provider Name (Legal Business Name): ANN MARIE SINGER-CLARK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANN MARIE SINGER

II. Dates (important events)

Enumeration Date: 03/27/2009
Last Update Date: 03/24/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 FOREST AVE SUITE 401
ZANESVILLE OH
43701-2868
US

IV. Provider business mailing address

860 BETHESDA DR
ZANESVILLE OH
43701-1800
US

V. Phone/Fax

Practice location:
  • Phone: 740-454-8502
  • Fax: 740-454-8641
Mailing address:
  • Phone: 740-454-4651
  • Fax: 740-454-4653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.096246
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number35096246
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: