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NPI Code Detail

MEDICARE: CLIFANA MEDICAL ENTERPRISES LLC

MEDICARE: CLIFANA MEDICAL ENTERPRISES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD

General Provider Information

NPI Number : 1184953804
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLIFANA MEDICAL ENTERPRISES LLC
Provider Business Mailing Address
First Line : 2025 EAST WEST HIGHWAY
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-2602
Country : US
Telephone Number : 301-328-5182
Fax Number : 301-589-2505
Provider Business Practice Location Address
First Line : 2025 EAST WEST HIGHWAY
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-2602
Country : US
Telephone Number : 301-328-5182
Fax Number : 301-589-2505
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. CLIFORD LESTER FERGUSON
Credential : M.D.
Telephone Number : 301-328-5182
Provider Enumeration Date : 12/08/2009
Last Update Date : 12/11/2009

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Directions to “CLIFANA MEDICAL ENTERPRISES LLC ” Practice Location

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