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NPI Code Detail

MEDICARE: BRENDAN R MCCLAFFERTY DO

MEDICARE:   BRENDAN R MCCLAFFERTY  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
12084P0800XPsychiatry Physician5077TN
22084P0800XPsychiatry PhysicianH0106702MD
32084P0800XPsychiatry Physician0102209136VA

General Provider Information

NPI Number : 1336727361
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDAN R MCCLAFFERTY DO
Provider Business Mailing Address
First Line : 2331 YORK RD STE 100
Second Line :
City : TIMONIUM
State : MD
Zip : 21093-2246
Country : US
Telephone Number : 667-668-2566
Fax Number : 410-498-4983
Provider Business Practice Location Address
First Line : 2960 SLEEPY HOLLOW RD
Second Line :
City : FALLS CHURCH
State : VA
Zip : 22044-2030
Country : US
Telephone Number : 667-668-2566
Fax Number : 410-498-4983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2021
Last Update Date : 05/21/2026

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