Provider Demographics
NPI:1659497014
Name:SANCHEZ, CLARE J (MD)
Entity Type:Individual
Prefix:DR
First Name:CLARE
Middle Name:J
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 SANDDOWN PL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-1918
Mailing Address - Country:US
Mailing Address - Phone:919-847-9382
Mailing Address - Fax:919-847-9638
Practice Address - Street 1:4909 GREEN RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-2831
Practice Address - Country:US
Practice Address - Phone:919-790-0288
Practice Address - Fax:919-790-0723
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28335174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2347843Medicare PIN
NC2021643DMedicare UPIN
C89465Medicare UPIN