Individual
DR. THOMAS M CLEMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
775 NORMAN DR, LEBANON, PA 17042-7497
(717) 274-5500
(717) 202-0130
Mailing address
775 NORMAN DR, LEBANON, PA 17042-7497
(717) 274-5500
(717) 202-0130
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD015290E
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD015290E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006428270004
—
PA
01
—
PO1680022
RAILROAD MEDICARE
PA
Enumeration date
12/29/2005
Last updated
08/30/2016
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