Individual
DR. ZACHARY MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
(215) 590-2180
Mailing address
100 E PENN SQ FL 9, PHILADELPHIA, PA 19107-3377
(267) 425-9200
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
MD447039
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030173810001
—
PA
Enumeration date
10/18/2009
Last updated
05/03/2019
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