Provider Demographics
NPI:1912692989
Name:CLANCY, CONOR CIAN (BMBS)
Entity Type:Individual
Prefix:DR
First Name:CONOR
Middle Name:CIAN
Last Name:CLANCY
Suffix:
Gender:M
Credentials:BMBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 BEECHFIELD
Mailing Address - Street 2:MONALEEN
Mailing Address - City:LIMERICK
Mailing Address - State:IRELAND
Mailing Address - Zip Code:V768373
Mailing Address - Country:IE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-6130
Practice Address - Country:US
Practice Address - Phone:121-531-6515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program