Individual
JESSE THOMAS CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 BARD AVE OFC 477, STATEN ISLAND, NY 10310-1664
(718) 818-4273
Mailing address
355 BARD AVE OFC 477, STATEN ISLAND, NY 10310-1664
(718) 818-4273
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA11861500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/21/2019
Last updated
09/16/2024
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