Wanda J Simmons Clemmon in Baltimore - Geriatric Medicine
Wanda J Simmons Clemmon - NPI 1275615775
Wanda J Simmons Clemmon is a Geriatric Medicine in Baltimore, Maryland. Wanda J Simmons Clemmon practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Wanda J Simmons Clemmon is 1275615775. The last update date is 2014-08-29.
Wanda J Simmons Clemmon's current location address is 6724 Glenkirk Rd, Baltimore, Maryland. You can contact this provider via phone number 4439003184 and fax number 4104332015. The mailing address for Wanda J Simmons Clemmon is 6724 Glenkirk Rd, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda J Simmons Clemmon |
|---|---|
| Address | 6724 Glenkirk Rd, Baltimore, Maryland |
| Phone Number | 4439003184 |
| Fax Number | 4104332015 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1275615775 |
|---|---|
| Provider Enumeration Date | 2006-10-20 |
| Last Updated Date | 2014-08-29 |
Provider Mailing Address Detail
| Address | 6724 Glenkirk Rd |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212391410 |
| Phone Number | 4439003184 |
| Fax Number | 4104332015 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | D0035674 |
|
Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 535071900 | MD | -- |
Post Comment/ Review Below
What is the Wanda J Simmons Clemmon's 1275615775?
The Wanda J Simmons Clemmon's NPI (National Provider Identifier) Number is 1275615775. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Wanda J Simmons Clemmon's physical address?
The Wanda J Simmons Clemmon is physically located at 6724 Glenkirk Rd, in the city of Baltimore, MD, with the postal code 212391410.
What is Wanda J Simmons Clemmon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Wanda J Simmons Clemmon is Geriatric Medicine, and the taxonomy code that classifies this field of practice is 207Qg0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275615775 to Wanda J Simmons Clemmon?
The Wanda J Simmons Clemmon received its 1275615775 assignment from the Centers for Medicare & Medicaid Services on 2006-10-20.
When was the Wanda J Simmons Clemmon's information last updated?
The Wanda J Simmons Clemmon's information was last updated on 2014-08-29.
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