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Contact Information

THOMAS M CLEMENS, MD
775 NORMAN DR
LEBANON, PA17042-7497
 Phone: 717-274-5500
 Fax: 717-202-0130
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for THOMAS M CLEMENS · (Male)

NPI Number 1316924426
Status Active
Credentials MD
Entity Individual
Enumeration date 12/29/2005
Last updated 08/30/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD015290E
  • PA Medicaid 0006428270004
  • PA Other PO1680022 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
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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