Individual
MARIA CLAVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 WELLES ST, KINGSTON, PA 18704-4968
(570) 718-4140
(570) 718-4141
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD070713L
PA
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD070713L
PA
Other
Enumeration date
02/06/2006
Last updated
03/13/2024
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