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Organization
CLEANSLATE MEDICAL GROUP OF THE DISTRICT OF COLUMBIA PLLC
Active
Organization
CLEANSLATE MEDICAL GROUP OF THE DISTRICT OF COLUMBIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK MURPHY (CFO)
(413) 584-2173
Entity
Organization
Contact information
Practice address
244 MAIN ST, NORTHAMPTON, MA 01060
(413) 584-2173
Mailing address
244 MAIN ST, NORTHAMPTON, MA 01060
(413) 584-2173
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
NULL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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