Individual
CLIFTON O BINGHAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-2400
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
D62437
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406543300
—
MD
Enumeration date
04/22/2006
Last updated
06/07/2013
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