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Contact Information

MICHAEL E CLARK, MD
207 LAKESIDE DRIVE
SOUTHAMPTON, PA18966
 Phone: 215-953-1020
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MICHAEL E CLARK · (Male)

NPI # 1972527703
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2006
Last updated 08/20/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD065253L
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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