Individual
DR. JOSEPH CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2375
(203) 855-3589
Mailing address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2375
(203) 855-3589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017553
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001175539
—
CT
01
—
100017553CT03
ANTHEM B/C
CT
01
—
17553
CONNECTICARE
CT
01
—
5139243
AETNA PROVIDER NUMBER
CT
01
—
5316626-002
CIGNA PROVIDER NUMBER
CT
01
—
OV8918
HEALTHNET
CT
Enumeration date
01/30/2006
Last updated
05/02/2011
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