Organization
CLEARALL PROFESSIONAL CORPORATION
Active
Parent organization
CLEARALL PROFESSIONAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEARALL PROFESSIONAL CORPORATION
Authorized official
DEE E WIRTH (CREDENTIALING/PRACTICE DIRECTOR)
(667) 328-9217
Entity
Organization
Contact information
Practice address
907 S MAIN ST STE A, HAMPSTEAD, MD 21074-2273
(888) 231-8207
Mailing address
7500 MONTPELIER RD, STE 150 MAI STOP 370, LAUREL, MD 20723-6012
(888) 231-8207
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
774026300
—
MD
Enumeration date
04/08/2024
Last updated
02/27/2025
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