Individual
JEFFREY E CLEMENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3822 COLONIAL AVE, ERIE, PA 16506-3826
(814) 833-5653
Mailing address
2860 CARDINAL DR, ERIE, PA 16509-8032
(814) 217-9349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD437546
PA
Other
Enumeration date
11/19/2009
Last updated
07/18/2011
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