BRIAN JOSEPH CLARK

MERCY DIAGNOSTIC IMAGING PC

Dr BRIAN JOSEPH CLARK is a male medical professional, specializing in Diagnostic Radiology. He graduated in 2008 from Temple University School Of Medicine.

Contact

MERCY DIAGNOSTIC IMAGING PC

1500 LANSDOWNE AVE
DARBY
PA
190231200

Tel: 6102374814

BRIAN JOSEPH CLARK Information

Npi 1093948523
Pac Id 9133425101
Professional Enrollment Id I20170615000166
Last Name CLARK
First Name BRIAN
Middle Name JOSEPH
Suffix
Gender M
Credential
Medical School Name TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2008
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MERCY DIAGNOSTIC IMAGING PC
Group Practice Pac Id 1153233283
Number Of Group Practice Members 17
Line 1 Street Address 1500 LANSDOWNE AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DARBY
State PA
Zip Code 190231200
Phone Number 6102374814
Hospital Affiliation Ccn 1 390156
Hospital Affiliation Lbn 1 MERCY FITZGERALD HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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