Provider Demographics
NPI:1831360742
Name:FLANNERY, CLARE ANN (MD)
Entity type:Individual
Prefix:DR
First Name:CLARE
Middle Name:ANN
Last Name:FLANNERY
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 1:333 CEDAR STREET, LSOG, PO BOX 208063
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520-8063
Mailing Address - Country:US
Mailing Address - Phone:203-785-4005
Mailing Address - Fax:203-785-7819
Practice Address - Street 1:333 CEDAR STREET
Practice Address - Street 2:LSOG 304A
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06520-8063
Practice Address - Country:US
Practice Address - Phone:203-785-4005
Practice Address - Fax:203-785-7819
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT047822207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism