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NPI Code Detail

MEDICARE: DR. PATRICK CLIFFORD M.D.

MEDICARE:  DR. PATRICK  CLIFFORD  M.D.
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
1207V00000XObstetrics & Gynecology Physician0420007412VT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1160018796OTHERVTRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720036783
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK CLIFFORD M.D.
Provider Business Mailing Address
First Line : 96 COLCHESTER AVE
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-1417
Country : US
Telephone Number : 802-658-0505
Fax Number :
Provider Business Practice Location Address
First Line : 96 COLCHESTER AVE
Second Line :
City : BURLINGTON
State : VT
Zip : 05401-1417
Country : US
Telephone Number : 802-658-0505
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 02/04/2013

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Directions to “ DR. PATRICK CLIFFORD M.D.” Practice Location

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