Individual
DR. CLEMENT A. MACCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 MOUNTIAN BLVD., SUITE 107, WARREN, NJ 07059-5678
(732) 627-0900
(732) 560-7388
Mailing address
65 MOUNTIAN BLVD., SUITE 107, WARREN, NJ 07059-5678
(732) 627-0900
(732) 560-7388
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA02833300
NJ
207K00000X
Allergy & Immunology Physician
Primary
25MA02833300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01101136
AMERIGROUP
NJ
01
—
0924679
CIGNA, GREATWEST
NJ
01
—
1211058
WELLCARE
NJ
05
—
1555201
—
NJ
01
—
1568431351
QUALCARE PPO/HMO
NJ
01
—
2985900
UHC COMMUNITY PLAN
NJ
01
—
4238239
AETNA PPO
NJ
01
—
5595926
AETNA HMO
NJ
01
—
7N1821
EMPIRE BC
NJ
01
—
P5392984
OXFORD
NJ
Enumeration date
03/15/2006
Last updated
11/15/2021
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