Individual
PATRICK T CLANCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44 GODWIN AVE, MIDLAND PARK, NJ 07432-1969
(201) 447-5454
(201) 447-8922
Mailing address
44 GODWIN AVE, MIDLAND PARK, NJ 07432-1969
(201) 447-5454
(201) 447-8922
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA04814800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0578651
UNIVERSITY HEALTH PLANS
NJ
01
—
0K5816
HEALTHNET
NJ
01
—
1003051003
CIGNA
NJ
01
—
160628
GREAT WEST/ONE HEALTH PLA
NJ
01
—
180037726
RR MEDICARE
NJ
01
—
500396
AETNA
NJ
01
—
P974388
OXFORD
NJ
Enumeration date
09/26/2006
Last updated
03/25/2014
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