Individual
CLIFFORD HOLLINGSWORTH PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 LANCASTER AVE, MAIN LINE ONCOLOGY HEMOTOLOGY ASSOCIATES, WYNNEWOOD, PA 19096
(610) 645-2494
(610) 645-4456
Mailing address
100 LANCASTER AVE, MAIN LINE ONCOLOGY HEMOTOLOGY ASSOCIATES, WYNNEWOOD, PA 19096
(610) 645-2494
(610) 645-4456
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD023913E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000919262001
—
PA
01
—
0061348000
BLUE CROSS HMO
—
01
—
1225231
CIGNA
—
01
—
2128677
AETNA
—
01
—
233000687002
PRUDENTIAL
—
Enumeration date
08/07/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us