Individual
MARTHA R CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5727 CENTRE AVE, PITTSBURGH, PA 15206-3707
(412) 363-6626
(412) 363-7008
Mailing address
5727 CENTRE AVE, PITTSBURGH, PA 15206-3707
(412) 363-6626
(412) 363-7008
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
MD025515E
PA
207ZH0000X
Hematology (Pathology) Physician
MD025515E
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD025515E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000117134
UNISON
—
05
—
0009538540005
—
PA
01
—
001107
HIGHMARK BLUE SHIELD
PA
01
—
1517938
GATEWAY HEALTH PLAN
—
01
—
202350
UPMC HEALTH PLAN
—
01
—
2993748
AETNA
—
01
—
P00000601
RAILROAD MEDICARE
—
Enumeration date
09/20/2006
Last updated
11/06/2007
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