Timothy William In Clark in Philadelphia - Vascular & Interventional Radiology
Timothy William In Clark - NPI 1588629885
Timothy William In Clark is a Vascular & Interventional Radiology in Philadelphia, Pennsylvania. Timothy William In Clark practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Timothy William In Clark is 1588629885. The last update date is 2018-04-18.
Timothy William In Clark's current location address is 51 N. 39th Street, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156623005. The mailing address for Timothy William In Clark is 51 N. 39th Street, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy William In Clark |
|---|---|
| Address | 51 N. 39th Street, Philadelphia, Pennsylvania |
| Phone Number | 2156623005 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588629885 |
|---|---|
| Provider Enumeration Date | 2006-04-19 |
| Last Updated Date | 2018-04-18 |
Provider Mailing Address Detail
| Address | 51 N. 39th Street |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 19104 |
| Phone Number | 2156623005 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | MD065636L |
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Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Timothy William In Clark by the Centers for Medicare & Medicaid Services?
The Timothy William In Clark has been issued the NPI (National Provider Identifier) 1588629885 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Timothy William In Clark?
The Timothy William In Clark is situated at 51 N. 39Th Street, in the city of Philadelphia, state of PA, with the zip code 19104.
What is Timothy William In Clark's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Timothy William In Clark is Vascular & Interventional Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0204X.
On what date did the Timothy William In Clark receive its 1588629885 assignment from the Centers for Medicare & Medicaid Services?
The Timothy William In Clark was assigned its 1588629885 by the Centers for Medicare & Medicaid Services on 2006-04-19.
As of what date were the Timothy William In Clark's details last updated?
The information pertaining to the Timothy William In Clark, including its address, specialty, and other details, was most recently updated on 2018-04-18.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY