Pemberton, Clifford Hollingsworth

Pemberton, Clifford Hollingsworth is an individual health care provider with primary practice located at 100 Lancaster Ave Main Line Oncology Hemotology Associates, Wynnewood PA 19096. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Pemberton, Clifford Hollingsworth can be contacted via phone (610) 645-2494.

Contact Information

Primary practice address
100 Lancaster Ave Main Line Oncology Hemotology Associates Wynnewood PA 19096
Phone: (610) 645-2494
Fax: (610) 645-4456
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD023913E Pennsylvania

Profile Details

NPI number 1770592792
LBN Legal business name Pemberton, Clifford Hollingsworth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Jul 8th, 2007 - about 17 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 1770592792 NPPES
Other 0061348000 BLUE CROSS HMO
Other 2128677 BLUE CROSS HMO
MEDICAID 000919262001 BLUE CROSS HMO
Other 1225231 BLUE CROSS HMO
Other 233000687002 BLUE CROSS HMO

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