Individual
TIMOTHY STEPHEN CLIFFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 BROADWAY, BUCKSPORT, ME 04416
(207) 469-7371
(207) 469-7306
Mailing address
110 BROADWAY, BUCKSPORT, ME 04416-4612
(207) 469-7371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011490
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334160099
—
ME
Enumeration date
06/19/2006
Last updated
06/19/2008
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