Individual
DR. MARK ANDREW MCCLURG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-2343
(215) 831-7853
(215) 831-7910
Mailing address
4641 ROOSEVELT BLVD, PHILADELPHIA, PA 19124-2343
(215) 831-7853
(215) 831-7910
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD047916L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1438200
—
PA
Enumeration date
01/26/2006
Last updated
07/08/2007
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