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Individual

PATRICK T CLANCY

Active
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Individual

PATRICK T CLANCY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

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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