Individual
CLIFFORD CARAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
233 PARK PL, ORANGE, NJ 07050-4103
(973) 277-6306
Mailing address
233 PARK PL, ORANGE, NJ 07050-4103
(973) 277-6306
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
C05401316512672
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
823327065
NON-MEDICAL TRANSPORTATION
NJ
Enumeration date
02/23/2018
Last updated
02/23/2018
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