Provider Demographics
NPI:1558688580
Name:SULLIVAN, CLAIRE EILEEN (MD)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:EILEEN
Last Name:SULLIVAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11100 EUCLID AVENUE
Mailing Address - Street 2:UNIVERSITY HOSPITALS CASE MEDICAL CENTER
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106
Mailing Address - Country:US
Mailing Address - Phone:216-844-2562
Mailing Address - Fax:216-844-8216
Practice Address - Street 1:11100 EUCLID AVENUE
Practice Address - Street 2:UNIVERSITY HOSPITALS CASE MEDICAL CENTER
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106
Practice Address - Country:US
Practice Address - Phone:216-844-2562
Practice Address - Fax:216-844-8216
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
OH35-121188207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program