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CLEANSLATE MEDICAL GROUP OF THE DISTRICT OF COLUMBIA PLLC NPI 1194264911


NPI Information

NPI: 1194264911
Provider Name: CLEANSLATE MEDICAL GROUP OF THE DISTRICT OF COLUMBIA PLLC
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 39D2164392

Address:
244 MAIN ST
NORTHAMPTON, MA
ZIP 01060
Phone: (413) 584-2173
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CLEANSLATE MEDICAL GROUP OF THE DISTRICT OF COLUMBIA PLLC is an addiction medicine internal medicine in Northampton, MA. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. CLEANSLATE MEDICAL GROUP OF THE DISTRICT OF COLUMBIA PLLC NPI is 1194264911. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

244 MAIN ST
NORTHAMPTON, MA
ZIP 01060
Phone: (413) 584-2173

The provider's authorized official is Patrick Murphy .
The authorized official title is Cfo and has the following contact phone number (413) 584-2173.

The CLIA number assigned to this NPI record is 39D2164392 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2017 and was last updated on 2/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RA0401XInternal MedicineAddiction MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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