Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROF. MARIEL CLARK, P.A.,C.
ActivePROF. MARIEL CLARK, P.A.,C. is a Physician Assistant healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1568475523 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1568475523
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 14, 2006 (19.975180516554 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MA000134L (PA)
Practice Information
- Address
-
9501 ROOSEVELT BLVDSUITE 410PHILADELPHIA, PA, 191141025Browse PA providers · Browse ZIP 19114
- Phone
- 2159694917
- Fax
- 2159695875
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| WILLIAM J GLASSMIRE | PAC | 1154329944 |
| JOHN M. CAVENAGH | PA | 1649271313 |
| CHRISTINA L CHAMBLEY | PA-C | 1568463073 |
| BIANCA IVETTE SANTIAGO | PA-C | 1952385197 |
| SANDRA Q MCCARTHY | PA C | 1770569311 |
| PAUL D BRADFORD | PA-C | 1588641435 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.