Provider Demographics
NPI:1649281833
Name:REED, CLIFFORD ANTHONY (MD)
Entity type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:ANTHONY
Last Name:REED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1410
Mailing Address - Country:US
Mailing Address - Phone:610-372-0813
Mailing Address - Fax:610-372-2111
Practice Address - Street 1:301 S 7TH AVE
Practice Address - Street 2:
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1410
Practice Address - Country:US
Practice Address - Phone:610-372-0183
Practice Address - Fax:610-372-2111
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018656E2084N0400X
PA018656E174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA232175137OtherTAX ID
PA1170570Medicaid
PA018656EOtherMEDICAL LISENCE