Provider Demographics
NPI:1821014457
Name:CLEARY, FRANCIS X (MD,FACC)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:X
Last Name:CLEARY
Suffix:
Gender:M
Credentials:MD,FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 HERRICK ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-5900
Mailing Address - Country:US
Mailing Address - Phone:978-927-8400
Mailing Address - Fax:978-922-1452
Practice Address - Street 1:75 HERRICK ST
Practice Address - Street 2:SUITE 206
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-5900
Practice Address - Country:US
Practice Address - Phone:978-927-8400
Practice Address - Fax:978-922-1452
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA54331174400000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA4336447OtherAETNA
MA060018874OtherRAILROAD MEDICARE
MA2500002OtherUNITED HEALTHCARE
MA042804155OtherHEALTH NET--NORTH REGION
MA6194915Medicaid
MA054331OtherTUFTS PROVIDER NUMBER
MA3406OtherHARVARD PILGRIM
MA97140001OtherNETWORK HEALTH PLAN
MA042804155OtherCIGNA HEALTH PLAN
MA2833OtherFALLON HEALTH PLAN
MAJ04475OtherBLUE CROSS BLUE SHIELD
MA4336447OtherAETNA
MA6194915Medicaid