Individual
DR. CANDICE LOIS MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(445) 235-9453
Mailing address
229 ARCH ST UNIT 205, PHILADELPHIA, PA 19106-1974
(973) 856-3159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT227237
PA
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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