CLIFFORD HOLLINGSWORTH PEMBERTON NPI 1770592792

NPI Information

NPI: 1770592792
Provider Name: CLIFFORD HOLLINGSWORTH PEMBERTON
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Address:
100 LANCASTER AVE
MAIN LINE ONCOLOGY HEMOTOLOGY ASSOCIATES
WYNNEWOOD, PA
ZIP 19096
Phone: (610) 645-2494
Get Directions

Clifford Hollingsworth Pemberton is a hematology and oncology internal medicine in Wynnewood, PA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Clifford Hollingsworth Pemberton NPI is 1770592792. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 LANCASTER AVE
MAIN LINE ONCOLOGY HEMOTOLOGY ASSOCIATES
WYNNEWOOD, PA
ZIP 19096
Phone: (610) 645-2494
Fax: (610) 645-4456

The enumeration date for this NPI number is 8/7/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0003X	Internal Medicine	Hematology & Oncology	MD023913E	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	233000687002	OTHER		PRUDENTIAL
2	1225231	OTHER		CIGNA
3	000919262001	MEDICAID	PENNSYLVANIA
4	077125NCN	MEDICARE ID-TYPE UNSPECIFIED
5	B35103	MEDICARE UPIN
6	2128677	OTHER		AETNA
7	0061348000	OTHER		BLUE CROSS HMO

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

NPI Synchronization or Removal

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