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NPI Code Detail

MEDICARE: DR. CLIFFORD J FIELDS DO

MEDICARE:  DR. CLIFFORD J FIELDS  DO
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
1207P00000XEmergency Medicine PhysicianDO2808ME
2207P00000XEmergency Medicine PhysicianDO 00356RI
3207P00000XEmergency Medicine Physician74935MA
4207QA0401XAddiction Medicine (Family Medicine) PhysicianDO00356RI
52084A0401XAddiction Medicine (Psychiatry & Neurology) PhysicianDO00356RI
6207Q00000XFamily Medicine PhysicianDO00356RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DO00356OTHERRIOSTEOPATHIC PHYSICIAN

General Provider Information

NPI Number : 1619901147
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CLIFFORD J FIELDS DO
Provider Business Mailing Address
First Line : 725 RESERVOIR AVE STE 103
Second Line :
City : CRANSTON
State : RI
Zip : 02910-4451
Country : US
Telephone Number : 401-829-4446
Fax Number : 401-829-4434
Provider Business Practice Location Address
First Line : 725 RESERVOIR AVE STE 103
Second Line :
City : CRANSTON
State : RI
Zip : 02910-4451
Country : US
Telephone Number : 401-829-4446
Fax Number : 401-829-4434
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 12/13/2022

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Directions to “ DR. CLIFFORD J FIELDS DO” Practice Location

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