Organization
CLARKE & GARDNER INTERNAL MEDICINE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE F CLARKE MD (PHYSICIAN-PRESIDENT)
(610) 649-3456
Entity
Organization
Contact information
Practice address
300 E LANCASTER AVE STE 100, WYNNEWOOD, PA 19096-2146
(610) 649-3456
(610) 642-1740
Mailing address
300 E LANCASTER AVE STE 100, WYNNEWOOD, PA 19096-2146
(610) 649-3456
(610) 642-1740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
910944
HIGHMARK BLUE SHIELD
PA
01
—
CH2589
RAILROAD MEDICARE
PA
Enumeration date
08/23/2006
Last updated
10/18/2018
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