Individual
DR. JEFFREY DAVID CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(443) 287-3127
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D72615
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
048234000
—
MD
Enumeration date
05/06/2008
Last updated
02/28/2013
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