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Search › Pennsylvania › 170300000X

Mary Egan Clark, LCGC

NPI 1699476663 · on the registry since 2023

Practice

Address
3500 Civic Center Blvd
Philadelphia, PA 19104
Phone
(267) 425-3154
Fax
(267) 425-0007
Organisation at this address
Children'S Surgical Associates Ltd
Children'S Surgical Associates Ltd
Childrens Hospital Of Philadelphia
Children'S Surgical Associates Ltd
Childrens Hospital Of Philadelphia
Inferred from a shared address, not stated in the registry.
Clinicians at this address
115

Registry record

Primary taxonomy
170300000X
170300000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania