DR. Charles Durrell Clayton, DPM

NPI #1336205103 in Mastic, New York

Provider Information

NPI Number: 1336205103
Entity Type: Individual
Name: DR. Charles Durrell Clayton, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Dec 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 152 N TITMUS DR
City: Mastic
State: New York
ZIP Code: 11950-1818
Phone: (631) 871-6945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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