MEDICARE: DOUGLAS F CLOUGH MD & ASSOCIATES 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
1	207R00000X	Internal Medicine Physician		PA

General Provider Information

NPI Number	:	1740282318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOUGLAS F CLOUGH MD & ASSOCIATES PC

Provider Business Mailing Address
First Line	:	9401 MCKNIGHT ROAD
Second Line	:	SUITE 106
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-6000
Country	:	US
Telephone Number	:	412-366-7070
Fax Number	:	412-369-8355

Provider Business Practice Location Address
First Line	:	9401 MCKNIGHT ROAD
Second Line	:	SUITE 106
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-6000
Country	:	US
Telephone Number	:	412-366-7070
Fax Number	:	412-369-8355

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DOUGLAS FRANK CLOUGH
Credential	:	MD
Telephone Number	:	412-366-7070

Provider Enumeration Date	:	08/12/2005
Last Update Date	:	09/20/2023

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