Dr Brian Joseph Clark, MD | |
1500 Lansdowne Ave, Darby, PA 19023-1200 | |
(610) 237-4215 | |
(610) 237-5641 |
Full Name | Dr Brian Joseph Clark |
---|---|
Gender | Male |
Speciality | Radiology - Vascular & Interventional Radiology |
Location | 1500 Lansdowne Ave, Darby, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093948523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | MD458524 (Pennsylvania) | Primary |
Entity Name | Mercy Diagnostic Imaging Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477509768 PECOS PAC ID: 1153233283 Enrollment ID: O20031105000570 |
Mailing Address | Practice Location Address |
---|---|
Dr Brian Joseph Clark, MD 1500 Lansdowne Ave, Darby, PA 19023-1200 Ph: (610) 237-4215 | Dr Brian Joseph Clark, MD 1500 Lansdowne Ave, Darby, PA 19023-1200 Ph: (610) 237-4215 |
Gregory Conrad Stachelek, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Lansdowne Ave, Darby, PA 19023 Phone: 610-237-5070 | |
Mohsen Paul A Khoury, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1500 Lansdowne Ave, Darby, PA 19023 Phone: 610-237-4814 | |
Dr. Justin Mackey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Lansdowne Ave, Darby, PA 19023 Phone: 914-584-6245 | |
Dr. Stanley Uy Chan, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1500 Lansdowne Ave, Darby, PA 19023 Phone: 610-237-4814 | |
Dr. Michael C Jay, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Lansdowne Ave, Darby, PA 19023 Phone: 610-237-4000 Fax: 610-237-5641 | |
Dr. Laryssa Maria Hud, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1500 Lansdowne Ave, Mercy Fitzgerald Hospital, Department Of Radiology, Darby, PA 19023 Phone: 610-237-4814 |