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Dean M. Clerico, MD
Specialist in Forty Fort, Pennsylvania
NPI 1700814456

Dean M. Clerico is a Specialist based in Forty Fort, PA. Dean M. Clerico practices in Forty Fort, PA and has the professional credentials of MD. The NPI Number for Dean M. Clerico is 1700814456 and holds a License No. MD047846L (Pennsylvania).

The current practice location address for Dean M. Clerico is 190 Welles St, Forty Fort, PA and can be reached out via phone at 570-283-0524 and via fax at 570-283-0302.

Location: 190 Welles St, Forty Fort, PA, 18704-4968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700814456
Provider Name
Dean M. Clerico
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
190 Welles St, Forty Fort, PA, 18704-4968
Phone Number
570-283-0524
Fax Number
570-283-0302
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0013050350002 05 PA
institution
Provider Business Practice Location Address Details
Address
190 Welles St
City
Forty Fort
State
Pennsylvania
Zip
18704-4968
Phone Number
570-283-0524
Fax Number
570-283-0302
person
Provider Business Mailing Address Details
Address
190 Welles St
City
Forty Fort
State
Pennsylvania
Zip
18704-4968
Phone Number
570-283-0524
Fax Number
570-283-0302
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD047846L (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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