Individual
DR. CLIFFORD LO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON CHILDRENS HOSPITAL, BOSTON, MA 02115-5724
(617) 355-7612
(617) 730-0496
Mailing address
15 OAK KNLS, ARLINGTON, MA 02476-6407
(781) 641-3735
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
48973
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3010730
—
MA
Enumeration date
08/15/2006
Last updated
03/06/2013
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