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Contact Information

CLIFFORD M BRESLOW, MD
55 FOGG RD
SOUTH WEYMOUTH, MA02190-2432
 Phone: 781-340-8000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for CLIFFORD M BRESLOW · (Male)

NPI Number 1639169758
Status Active
Credentials MD
Entity Individual
Enumeration date 10/28/2005
Last updated 06/03/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 77175
  • MA Medicaid 3105890
  • MA Other 42723 FALLON
  • MA Other 275188 HARVARD FIRST SENIORITY
  • MA Other 275188 HARVARD PILGRIM
  • MA Other 077175 TUFTS HEALTH PLAN
Hospital affiliation(s)
  • SOUTH SHORE HOSPITAL - (Acute Care)
    55 FOGG ROAD
    SOUTH WEYMOUTH, MA 02190
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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