Provider Demographics
NPI:1881632362
Name:MORGENSTERN-CLARREN, HADLEY SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:HADLEY
Middle Name:SCOTT
Last Name:MORGENSTERN-CLARREN
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 1:1611 S GREEN RD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-4128
Mailing Address - Country:US
Mailing Address - Phone:216-381-4103
Mailing Address - Fax:216-291-2353
Practice Address - Street 1:1611 S GREEN RD
Practice Address - Street 2:SUITE 260
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-4128
Practice Address - Country:US
Practice Address - Phone:216-381-4103
Practice Address - Fax:216-291-2353
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35042109207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0469551Medicare ID - Type Unspecified
OHA79069Medicare UPIN