Individual
DR. LINDA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13 SAINT ALBANS CIR, SUITE C, NEWTOWN SQUARE, PA 19073-3622
(484) 422-8647
(484) 422-8648
Mailing address
13 SAINT ALBANS CIR, SUITE C, NEWTOWN SQUARE, PA 19073-3622
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD059952L
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD059952L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001664319
—
PA
05
—
01664319
—
PA
01
—
P00798987
RAILROAD MEDICARE
PA
Enumeration date
04/13/2006
Last updated
07/12/2017
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