Individual
CHARLES PAUL CLEMENTS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4755 OGLETOWN STANTON ROAD, NEWARK, DE 19718-1320
(302) 733-1000
(302) 733-2685
Mailing address
2 READS WAY, SUITE 201, NEW CASTLE, DE 19720-1630
(302) 709-4709
(302) 709-4551
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
RN334205L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A00734
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598741357
—
DE
Enumeration date
12/22/2005
Last updated
11/29/2023
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