Dr TIMOTHY JERUM CLARK is a male medical professional, specializing in Nurse Practitioner. He graduated in 2016.
FAMILY CARE CENTERS INC
600 COMMERCE BLVD
STROUDSBURG
PA
183606214
Tel: 5704262330
| Npi | 1518492008 |
| Pac Id | 3577824440 |
| Professional Enrollment Id | I20180312000326 |
| Last Name | CLARK |
| First Name | TIMOTHY |
| Middle Name | JERUM |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | FAMILY CARE CENTERS INC |
| Group Practice Pac Id | 5395649347 |
| Number Of Group Practice Members | 183 |
| Line 1 Street Address | 600 COMMERCE BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | STROUDSBURG |
| State | PA |
| Zip Code | 183606214 |
| Phone Number | 5704262330 |
| Hospital Affiliation Ccn 1 | 390201 |
| Hospital Affiliation Lbn 1 | LEHIGH VALLEY HOSPITAL - POCONO |
| Hospital Affiliation Ccn 2 | 390330 |
| Hospital Affiliation Lbn 2 | ST LUKE'S HOSPITAL - MONROE CAMPUS |
| Hospital Affiliation Ccn 3 | 390326 |
| Hospital Affiliation Lbn 3 | ST LUKE'S HOSPITAL - ANDERSON CAMPUS |
| 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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