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Contact Information

CLIFFORD L JENG, MD
301 SAINT PAUL ST
MAIN FLOOR
BALTIMORE, MD21202-2102
 Phone: 410-659-2800
 Fax: 410-659-2999
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CLIFFORD L JENG · (Male)

NPI # 1851339550
Status Active
Credentials MD
Entity Individual
Enumeration date 06/03/2006
Last updated 04/06/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0058574
  • MD Medicaid 432152900
  • MD Other KBM7 / 615260-01 BC / BS OF MD
  • MD Other F730 / 0002 BLUECHOICE
Hospital affiliation(s)
  • MERCY MEDICAL CENTER INC - (Acute Care)
    301 SAINT PAUL PLACE
    BALTIMORE, MD 21202
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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