Michaelson, Clifford
Michaelson, Clifford is an sole proprietor health care provider with primary practice located at 75 Riverside Ave Suite 3, Medford MA 02155-4600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Michaelson, Clifford can be contacted via phone (781) 756-7273.Contact Information
Primary practice address
75 Riverside Ave Suite 3
Medford MA 02155-4600
Phone: (781) 756-7273
Fax: (781) 756-7274
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 60116 | Massachusetts |
Profile Details
NPI number | 1861427320 |
---|---|
LBN Legal business name | Michaelson, Clifford |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 12th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1861427320 | NPPES |
Massachusetts | MEDICAID | 3038700 |
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