Stephanie Lynn Clark
Pediatrician Pediatric Nephrologist
34th & Civic Center Blvd
Philadelphia
, Pennsylvania 19104
Stephanie Lynn Clark
Pediatrician Pediatric Nephrologist
34th & Civic Center Blvd
Philadelphia
, Pennsylvania 19104
(215) 590-2449
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About
Features
Specialties
- Pediatrician
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Stephanie Lynn Clark
- 34th & Civic Center Blvd
- Philadelphia, PA
- Zip : 19104
- Phone : (215) 590-2449
Second Address
- Stephanie Lynn Clark
- 34th & Civic Center Blvd
- Philadelphia, PA
- Zip : 19104
- Phone : (215) 590-2449
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 35.096286 | OH |
| Y | 2080P0210X | Pediatric Nephrologist | MT201541 | PA |
National Provider Identifier
| NPI | 1275707358 |
|---|---|
| Provider Name | Stephanie Lynn Clark |
| First Address | Philadelphia, PA 19104 |
| Second Address | Philadelphia, PA 19104 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2008 |
| Last Update Date | 19/07/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.