Individual
HOPE-ELIZABETH CLENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MB12126700
NJ
2080P0205X
Pediatric Endocrinology Physician
Primary
25MB12126700
NJ
2080P0205X
Pediatric Endocrinology Physician
316774
NY
Other
Enumeration date
04/22/2016
Last updated
11/15/2024
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