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

Edgardo Clark

Individual provider Non-emergency Medical Transport (VAN) · NPI 1063194561

Edgardo Clark is a Non-emergency Medical Transport (VAN) in Randolph, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2023

Practice location Address checks out

24 Himoor Cir
Randolph, MA 02368-2429
Phone: (508) 243-4379
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X · Licence S37922805 (MA)

Record details

NPI number1063194561
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 3, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023
Mailing address24 Himoor Cir, Randolph, MA 02368-2429

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