Individual
CLENTON L COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 CEDAR LN STE 109, TEANECK, NJ 07666-4311
(201) 379-5650
(201) 357-8206
Mailing address
222 CEDAR LN STE 109, TEANECK, NJ 07666-4311
(201) 379-5650
(201) 357-8206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
245332
NY
207RN0300X
Nephrology Physician
Primary
25MA08555000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108251
—
NJ
Enumeration date
08/01/2007
Last updated
09/25/2024
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