MEDICARE: DR. L. JOHN CLARKE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	79745	MA

General Provider Information

NPI Number	:	1487859856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. L. JOHN CLARKE M.D.

Provider Business Mailing Address
First Line	:	208 VILLAGE AVE
Second Line	:
City	:	DEDHAM
State	:	MA
Zip	:	02026-4231
Country	:	US
Telephone Number	:	781-686-9511
Fax Number	:

Provider Business Practice Location Address
First Line	:	208 VILLAGE AVE
Second Line	:
City	:	DEDHAM
State	:	MA
Zip	:	02026-4231
Country	:	US
Telephone Number	:	781-686-9511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1821301235 — MS. ALISON CORNING CLARKE MSW
Practice Location Address:

208 VILLAGE AVE
DEDHAM, MA
02026-4231

Practice Phone: 781-686-9511
Practice Fax:

1376541631 — MARGARET M HOFFMAN NP
Practice Location Address:

1 LYONS ST
DEDHAM, MA
02026-5599

Practice Phone: 781-329-1400
Practice Fax: 781-278-5664

1316804842 — GRACE O'CALLAGHAN OT
Practice Location Address:

391 COMMON ST
DEDHAM, MA
02026-4055

Practice Phone: 877-407-3422
Practice Fax: 877-407-4329

1780680488 — MICHAEL S SHUSTERMAN MD
Practice Location Address:

1 LYONS ST
DEDHAM, MA
02026-5599

Practice Phone: 781-493-3620
Practice Fax: 781-461-9210

1205832821 — JENNIFER K FEHSER MD
Practice Location Address:

1 LYONS ST
DEDHAM, MA
02026-5599

Practice Phone: 781-329-1400
Practice Fax: 781-278-5667

1811993447 — MICHAEL FERRIS MD
Practice Location Address:

1 LYONS ST
DEDHAM, MA
02026-5599

Practice Phone: 781-329-1400
Practice Fax: 781-278-5667

Directions to “ DR. L. JOHN CLARKE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.