Provider Demographics
NPI:1831195585
Name:CLAYMAN, ALAN EDWARD (DPM)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:EDWARD
Last Name:CLAYMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 GREAT PLAIN AVE
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-3737
Mailing Address - Country:US
Mailing Address - Phone:781-235-2025
Mailing Address - Fax:
Practice Address - Street 1:616 GREAT PLAIN AVE
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-3737
Practice Address - Country:US
Practice Address - Phone:781-235-2025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1483213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0330159Medicaid
MAY70594Medicare PIN
MA0330159Medicaid