IndividualActive
Stephanie Clark, M.D.
NPI 1275707358 · Pediatric Nephrology Physician · Philadelphia, PA
Provider details
- NPI number
- 1275707358
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 35.096286 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
34th & Civic Center Blvd
Philadelphia, PA 19104
Phone: (215) 590-2449
Approximate (ZIP-level) locationGet directions
Mailing address
34th & Civic Center Blvd
Philadelphia, PA 19104
Registry dates
- Enumerated
- 2008-04-18
- Last updated
- 2012-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.