1548281025 NPI number — MR. BRIAN KEITH MCCLINTOCK MA

Table of content: MR. BRIAN KEITH MCCLINTOCK MA (NPI 1548281025)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1548281025 NPI number — MR. BRIAN KEITH MCCLINTOCK MA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCCLINTOCK
Provider First Name:
BRIAN
Provider Middle Name:
KEITH
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1548281025
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/03/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
390 AMWELL RD
Provider Second Line Business Mailing Address:
SUITE 407
Provider Business Mailing Address City Name:
HILLSBOROUGH
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08844-1225
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-431-4224
Provider Business Mailing Address Fax Number:
908-431-4225

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
390 AMWELL RD
Provider Second Line Business Practice Location Address:
SUITE 407
Provider Business Practice Location Address City Name:
HILLSBOROUGH
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08844-1225
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-431-4224
Provider Business Practice Location Address Fax Number:
908-431-4225
Provider Enumeration Date:
07/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 237600000X , with the licence number:  41YA00065300 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0044156 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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