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
Fax: (781) 756-7274
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861427320 NPPES
Massachusetts MEDICAID 3038700

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