Healthcare Provider Details

I. General information

NPI: 1396420154
Provider Name (Legal Business Name): CLARITY ENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2023
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 SUMNEYTOWN PIKE STE 208
SPRING HOUSE PA
19477-1011
US

IV. Provider business mailing address

909 SUMNEYTOWN PIKE STE 205
SPRING HOUSE PA
19477-1011
US

V. Phone/Fax

Practice location:
  • Phone: 215-629-1353
  • Fax: 866-521-0299
Mailing address:
  • Phone: 215-620-2098
  • Fax: 267-865-0005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MARTA BECKER
Title or Position: OWNER
Credential: MD
Phone: 215-620-2098