Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colleen Rose Clark

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265315683

Colleen Rose Clark is a Student in an Organized Health Care Education/Training Program in East Orange, New Jersey. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

385 Tremont Ave
East Orange, NJ 07018-1023
Phone: (973) 676-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1265315683
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 31, 2025
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing address39 Bosworth St, Staten Island, NY 10310-2809

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