Clancy, Patrick T

Clancy, Patrick T is an sole proprietor health care provider with primary practice located at 44 Godwin Ave , Midland Park NJ 07432-1969. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Clancy, Patrick T can be contacted via phone (201) 447-5454.

Contact Information

Primary practice address
44 Godwin Ave Midland Park NJ 07432-1969
Phone: (201) 447-5454
Fax: (201) 447-8922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA04814800 New Jersey

Profile Details

NPI number 1740381128
LBN Legal business name Clancy, Patrick T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Mar 25th, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740381128 NPPES
New Jersey Other 1003051003 CIGNA
New Jersey Other 180037726 CIGNA
New Jersey Other 0578651 CIGNA
New Jersey Other 160628 CIGNA
New Jersey Other 0K5816 CIGNA
New Jersey Other 500396 CIGNA
New Jersey Other P974388 CIGNA

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