Provider Demographics
NPI:1770299075
Name:CLEARALL PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:CLEARALL PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:WHELTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-277-5527
Mailing Address - Street 1:7500 MONTPELIER RD
Mailing Address - Street 2:STE 150 MAIL STOP 370
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-6012
Mailing Address - Country:US
Mailing Address - Phone:888-231-8207
Mailing Address - Fax:
Practice Address - Street 1:907 S MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:MD
Practice Address - Zip Code:21074-2273
Practice Address - Country:US
Practice Address - Phone:888-231-8207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Single Specialty