DR. Michael E Clark, MD

NPI #1972527703 in Southampton, Pennsylvania

Provider Information

NPI Number: 1972527703
Entity Type: Individual
Name: DR. Michael E Clark, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jul 26, 2006
Last Updated: Aug 20, 2019

Practice Location

Address: 207 LAKESIDE DRIVE
City: Southampton
State: Pennsylvania
ZIP Code: 18966
Phone: (215) 953-1020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Pediatrics	208000000X	Primary

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