Individual
CLIFFORD MARK BRESLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 340-8000
Mailing address
163 LIBBEY PKWY, SUITE 301, WEYMOUTH, MA 02189-3101
(781) 337-4224
(781) 335-0429
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
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