Clifford, Eileen M.
Clifford, Eileen M. is an individual health care provider with primary practice located at 22-18 Broadway Suite 104, Fair Lawn NJ 07410-1552. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Clifford, Eileen M. can be contacted via phone (201) 797-4503.Contact Information
Primary practice address
22-18 Broadway Suite 104
Fair Lawn NJ 07410-1552
Phone: (201) 797-4503
Fax: (201) 797-4270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA03511000 | New Jersey |
Profile Details
| NPI number | 1730264052 |
|---|---|
| LBN Legal business name | Clifford, Eileen M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Aug 7th, 2012 - about 12 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 | 1730264052 | NPPES |
| New Jersey | MEDICAID | 2843102 |
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