Individual
MELISSA ANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD/PHD
Contact information
Practice address
1469 8TH AVE, BETHLEHEM, PA 18018-2256
(484) 526-7800
Mailing address
1469 8TH AVE, BETHLEHEM, PA 18018-2256
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD484082
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD484082
PA
Other
Enumeration date
05/01/2018
Last updated
08/07/2024
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