Individual
BRIAN CLYNE
Active
Individual
BRIAN CLYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD10332
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107964
—
MA
01
—
1083638928
NPI
RI
01
—
12/14/2006
NHPRI
RI
01
—
12/29/2008
TUFTS
RI
05
—
7008267
—
RI
01
—
930093283
RAILROAD MEDICARE
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
Enumeration date
07/26/2006
Last updated
09/17/2013
Update your record
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