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Individual

DR. JAMES MICHAEL CLARKE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
103 E 5TH AVE, CONSHOHOCKEN, PA 19428-1712
(610) 828-6990
(610) 828-7364
Mailing address
103 E 5TH AVE, CONSHOHOCKEN, PA 19428-1712
(610) 828-6990
(610) 828-7364

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006833L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1025754
PA
Enumeration date
06/08/2006
Last updated
09/29/2008
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