Individual
ANDREW CLEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 S 21ST ST, EASTON, PA 18042-3851
(610) 250-4000
Mailing address
3916 N 53RD ST, OMAHA, NE 68104-2916
(402) 639-9118
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
192232
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192232
MEDICAL TRAINING LICENSE NUMBER
PA
Enumeration date
06/05/2008
Last updated
06/05/2008
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