Individual
DR. CHARLES P MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E. MARSHALL ST, WEST CHESTER, PA 19380
(610) 431-5262
(610) 526-4082
Mailing address
701 E. MARSHALL ST, WEST CHESTER, PA 19380
(610) 431-5262
(610) 526-4082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD069964L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018044380001
—
PA
05
—
0018044380002
—
PA
01
—
232359401
GREAT VALLEY HEALTH
PA
Enumeration date
02/15/2006
Last updated
03/21/2014
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