Coleman, Clenton L

Coleman, Clenton L is an sole proprietor health care provider with primary practice located at 222 Cedar Ln Ste 109 , Teaneck NJ 07666-4311. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Coleman, Clenton L can be contacted via phone (201) 379-5650.

Contact Information

Primary practice address
222 Cedar Ln Ste 109 Teaneck NJ 07666-4311
Phone: (201) 379-5650
Fax: (201) 357-8206
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 245332 New York
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 25MA08555000 New Jersey

Profile Details

NPI number 1730379025
LBN Legal business name Coleman, Clenton L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2007
Last updated Nov 11th, 2019 - about 5 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 1730379025 NPPES
New Jersey MEDICAID 0108251

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