Breslow, Clifford Mark
Breslow, Clifford Mark is an individual health care provider with primary practice located at 55 Fogg Rd , South Weymouth MA 02190-2432. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Breslow, Clifford Mark can be contacted via phone (781) 340-8000.Contact Information
Primary practice address
55 Fogg Rd
South Weymouth MA 02190-2432
Phone: (781) 340-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 77175 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 77175 | Massachusetts |
Profile Details
| NPI number | 1639169758 |
|---|---|
| LBN Legal business name | Breslow, Clifford Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Jun 3rd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639169758 | NPPES |
| Massachusetts | Other | 42723 | FALLON |
| Massachusetts | Other | 275188 | FALLON |
| Massachusetts | Other | 077175 | FALLON |
| Massachusetts | Other | 275188 | FALLON |
| Massachusetts | MEDICAID | 3105890 | FALLON |
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