Provider Demographics
NPI:1275952764
Name:MCCLOWRY, ROBERT J (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:MCCLOWRY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 E OLNEY AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-2470
Mailing Address - Country:US
Mailing Address - Phone:215-456-1825
Mailing Address - Fax:215-456-5926
Practice Address - Street 1:5201 OLD YORK RD STE 311
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-2987
Practice Address - Country:US
Practice Address - Phone:215-394-4195
Practice Address - Fax:215-457-4261
Is Sole Proprietor?:No
Enumeration Date:2014-04-10
Last Update Date:2023-02-07
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Provider Licenses
StateLicense IDTaxonomies
MI4301113767207Q00000X
GA89408207Q00000X
PAMD459818207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine