Individual
JOSHUA SHAWN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5683 ROUTE 115, BLAKESLEE, PA 18610-7973
(570) 355-7100
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD489193
PA
207QS0010X
Sports Medicine (Family Medicine) Physician
MT222853
PA
Other
Enumeration date
03/30/2021
Last updated
08/28/2025
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