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NPI Code Detail

MEDICARE: HARVEY G CLERMONT MD PC

MEDICARE: HARVEY G CLERMONT MD PC
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
1208600000XSurgery Physician

General Provider Information

NPI Number : 1275680159
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARVEY G CLERMONT MD PC
Provider Business Mailing Address
First Line : 475 PLEASANT ST
Second Line :
City : WORCESTER
State : MA
Zip : 01609-1858
Country : US
Telephone Number : 508-421-4794
Fax Number : 508-842-9372
Provider Business Practice Location Address
First Line : 475 PLEASANT ST
Second Line :
City : WORCESTER
State : MA
Zip : 01609-1858
Country : US
Telephone Number : 508-421-4794
Fax Number : 508-842-9372
Authorized Official
Title or Position : PRESIDENT
Name : DR. HARVEY G CLERMONT
Credential : MD
Telephone Number : 508-421-4794
Provider Enumeration Date : 01/04/2007
Last Update Date : 08/19/2008

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