Provider Demographics
NPI:1699790709
Name:CLEMENTE, EMMETT A (MD)
Entity type:Individual
Prefix:
First Name:EMMETT
Middle Name:A
Last Name:CLEMENTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9 INDUSTRIAL RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3735
Mailing Address - Country:US
Mailing Address - Phone:508-473-1480
Mailing Address - Fax:508-473-1210
Practice Address - Street 1:117 WATER ST
Practice Address - Street 2:MCGRATH MEDICAL GROUP
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-3001
Practice Address - Country:US
Practice Address - Phone:508-478-4500
Practice Address - Fax:508-478-5235
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2014-12-12
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Provider Licenses
StateLicense IDTaxonomies
MA79747207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3128687Medicare ID - Type Unspecified
CLJ14713Medicare ID - Type Unspecified
F87971Medicare UPIN