Individual
DR. PETER FLECK CLARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER KSB23, BOSTON, MA 02215-5400
(617) 667-5864
Mailing address
330 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER KSB23, BOSTON, MA 02215-5400
(617) 667-5864
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
207993
MA
207RP1001X
Pulmonary Disease Physician
207993
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0168661
—
MA
Enumeration date
07/06/2006
Last updated
04/13/2011
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