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NPI Profile for CLEANSLATE MEDICAL GROUP OF THE DISTRICT OF COLUMBIA PLLC in NORTHAMPTON, MA.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207RA0401X | 11 | Physician/Internal Medicine |
| NPI Number | 1194264911 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/13/2017 | |
| Last updated | 02/13/2017 - About 9 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CLEANSLATE MEDICAL GROUP OF THE DISTRICT OF COLUMBIA PLLC
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CLEANSLATE MEDICAL GROUP OF THE DISTRICT OF COLUMBIA PLLC