Clifana Medical Enterprises Llc | |
2025 East West Highway Silver Spring MD 20910-2602 | |
(301) 328-5182 | |
(301) 589-2505 |
Full Name | Clifana Medical Enterprises Llc |
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Speciality | Internal Medicine |
Location | 2025 East West Highway, Silver Spring, Maryland |
Authorized Official Name and Position | Cliford Lester Ferguson (MEDICAL DIRECTOR) |
Authorized Official Contact | 3013285182 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Clifana Medical Enterprises Llc 2025 East West Highway Silver Spring MD 20910-2602 Ph: (301) 328-5182 | Clifana Medical Enterprises Llc 2025 East West Highway Silver Spring MD 20910-2602 Ph: (301) 328-5182 |
NPI Number | 1184953804 |
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Provider Enumeration Date | 12/08/2009 |
Last Update Date | 12/11/2009 |
Medicare PECOS PAC ID | 5799810420 |
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Medicare Enrollment ID | O20100413000059 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184953804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Maryland) | Primary |
Provider Name | Clifford L Ferguson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053310607 PECOS PAC ID: 5294757241 Enrollment ID: I20080212000593 |
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