Provider Demographics
NPI:1275680159
Name:HARVEY G CLERMONT MD PC
Entity Type:Organization
Organization Name:HARVEY G CLERMONT MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:G
Authorized Official - Last Name:CLERMONT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-421-4794
Mailing Address - Street 1:475 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-1858
Mailing Address - Country:US
Mailing Address - Phone:508-421-4794
Mailing Address - Fax:508-842-9372
Practice Address - Street 1:475 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-1858
Practice Address - Country:US
Practice Address - Phone:508-421-4794
Practice Address - Fax:508-842-9372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty