Provider Demographics
NPI:1134193030
Name:ESKEY, CLIFFORD JOSEPH (MD PHD)
Entity type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:JOSEPH
Last Name:ESKEY
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:DARTMOUTH HITCHCOCK MEDICAL CENTER
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-1000
Mailing Address - Country:US
Mailing Address - Phone:603-650-4477
Mailing Address - Fax:603-650-5455
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:DARTMOUTH HITCHCOCK MEDICAL CENTER
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-4477
Practice Address - Fax:603-650-5455
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2011-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1569992085N0700X, 2085R0202X
NH109392085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30200974Medicaid
VT0RE5789Medicaid
MAJ18806OtherBCBS MA
MA3178242Medicaid
G67532Medicare UPIN
MA3178242Medicaid
MAA23549Medicare PIN