Organization
CLENTON COLEMAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLENTON L COLEMAN (MD)
(201) 836-7970
Entity
Organization
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
207RN0300X
Nephrology Physician
Primary
25MA08555000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108251
—
NJ
Enumeration date
12/14/2009
Last updated
09/25/2024
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