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NPI Code Detail

MEDICARE: CARL WENDY CLERMEUS

MEDICARE: CARL WENDY CLERMEUS
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
1390200000XStudent in an Organized Health Care Education/Training ProgramMA

General Provider Information

NPI Number : 1417890518
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARL WENDY CLERMEUS
Provider Business Mailing Address
First Line : 1881 WORCESTER RD
Second Line :
City : FRAMINGHAM
State : MA
Zip : 01701-5410
Country : US
Telephone Number : 508-628-6300
Fax Number :
Provider Business Practice Location Address
First Line : 1094 WORCESTER RD
Second Line :
City : FRAMINGHAM
State : MA
Zip : 01702-5255
Country : US
Telephone Number : 508-628-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ CARL WENDY CLERMEUS ” Practice Location

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