Organization
PATRICK CLANCY MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK T CLANCY MD (OWNER)
(201) 447-5454
Entity
Organization
Contact information
Practice address
44 GODWIN AVE, SUITE 101, MIDLAND PARK, NJ 07432-1969
(201) 447-5454
(201) 447-8922
Mailing address
44 GODWIN AVE, SUITE 101, MIDLAND PARK, NJ 07432-1969
(201) 447-5454
(201) 447-8922
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
25MA04814800
NJ
Other
Enumeration date
02/01/2007
Last updated
03/06/2008
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