Individual
DR. CLEMENT CHARLES MCGINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1104 NORTH ST, JIM THORPE, PA 18229-1717
(570) 325-2400
(570) 325-7601
Mailing address
8 ALPINE LN, JIM THORPE, PA 18229-1740
(570) 325-4950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD019520E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06832850001
—
PA
Enumeration date
08/30/2006
Last updated
07/08/2007
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