Provider Demographics
NPI:1043218704
Name:CLAIR, PAMELA JO (MD)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:JO
Last Name:CLAIR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:9795 PERRY HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9700
Mailing Address - Country:US
Mailing Address - Phone:412-366-7337
Mailing Address - Fax:412-366-5118
Practice Address - Street 1:9795 PERRY HWY STE 100
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9700
Practice Address - Country:US
Practice Address - Phone:412-366-7337
Practice Address - Fax:412-366-5118
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD087948E208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011304670012Medicaid
E71701Medicare UPIN