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
—
—
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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