Individual
CHERYL ELIZABETH CLARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(610) 526-3000
(302) 651-4945
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA08131700
NJ
208000000X
Pediatrics Physician
426795
PA
208M00000X
Hospitalist Physician
426795
PA
208M00000X
Hospitalist Physician
Primary
MD426795
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0118494
—
NJ
05
—
101956076
—
PA
05
—
412977600
—
MD
Enumeration date
11/08/2006
Last updated
08/17/2014
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