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Contact Information

LINDA CLARK, MD
13 SAINT ALBANS CIR
SUITE C
NEWTOWN SQUARE, PA19073-3622
 Phone: 484-422-8647
 Fax: 484-422-8648
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LINDA CLARK · (Female)

NPI # 1376507772
Status Active
Credentials MD
Entity Individual
Enumeration date 04/13/2006
Last updated 07/12/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD059952L
  • PA Medicaid 001664319
  • PA Medicaid 01664319
  • PA Other P00798987 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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