Individual
JEFFREY D CLEMENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1076 N MAIN ST, PROVIDENCE, RI 02904-5760
(401) 861-7711
(401) 421-5710
Mailing address
1076 N MAIN ST, PROVIDENCE, RI 02904-5760
(401) 861-7711
(401) 421-5710
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
RI09696
RI
207RN0300X
Nephrology Physician
Primary
RI09696
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006284
—
RI
Enumeration date
07/09/2005
Last updated
12/04/2015
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