Individual
CLIFFORD MARK BRESLOW
Active
Individual
CLIFFORD MARK BRESLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
77175
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
77175
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077175
TUFTS HEALTH PLAN
MA
01
—
275188
HARVARD PILGRIM
MA
05
—
3105890
—
MA
01
—
42723
FALLON
MA
Enumeration date
10/28/2005
Last updated
06/03/2008
Update your record
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