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General NPI Number Information
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NPI Number | 1730162280
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Entity Type | Individual
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Provider Name | CLIFFORD M. GEVIRTZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2005
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 333 CEDAR ST # STREET3
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City | NEW HAVEN
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State | CT
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Zip | 06510-3206
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Country | US
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Telephone | 877-925-3637
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Fax |
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Provider Business Mailing Address
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Address Line | 10 COMMERCE DR
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-5214
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Country | US
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Telephone | 914-637-3510
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Fax | 914-819-0061
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 147669
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 53692
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License Number State | CT
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