Individual
DR. SIMON MARK CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MB BCH BAO
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-2584
Mailing address
1815 JFK BLVD APT 1519, PHILADELPHIA, PA 19103-1713
(215) 821-4181
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
LT000880
PA
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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