Provider Demographics
NPI:1033280300
Name:CLARKE, JOHN RODNEY (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:RODNEY
Last Name:CLARKE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:245 N 15TH ST
Mailing Address - Street 2:SUITE 7150, MAIL STOP 413
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1101
Mailing Address - Country:US
Mailing Address - Phone:215-762-1545
Mailing Address - Fax:215-762-8389
Practice Address - Street 1:230 N BROAD ST
Practice Address - Street 2:HAHNEMANN UNIVERSITY HOSPITAL, MAIL STOP 993
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1121
Practice Address - Country:US
Practice Address - Phone:215-762-2010
Practice Address - Fax:215-246-5971
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAMD030665L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery