Individual
DR. EDWARD ALOYSIUS CLERKIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 HIGH ST, FARMINGTON, CT 06032-2357
(860) 677-9624
(860) 674-0878
Mailing address
2 HIGH ST, FARMINGTON, CT 06032-2357
(860) 677-9624
(860) 674-0878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
021804
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001218049
—
CT
Enumeration date
07/07/2006
Last updated
07/08/2007
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