Glen Chapman M.D.

NPI 1073527727 - Family Medicine - 207Q00000X

NPI Details
NPI 1073527727
Gender Male
Enumeration Date 07/28/2006
Last Updated 06/23/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
102 RACE TRACK RD
SUITE 1
TICONDEROGA NY, 12883-4004, US
Phone (518) 585-6708
Fax (518) 585-3260
Business Location
9 CAREY RD
QUEENSBURY NY, 12804-7880, US
Phone (518) 761-0300
Fax (518) 480-0108
Toxanomy
Taxonomy Code 207Q00000X
License State New York
License Number 151115
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According to our database, Glen Chapman M.D. NPI is 1073527727, taxonomy code is 207Q00000X and license number is 151115, license state is located at New York. Glen Chapman M.D. physically located at 102 Race Track Rd, Ticonderoga NY, 12883-4004. NPI Number Glen Chapman M.D. has the Individual type.

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1073527727 NPI number is provided on an as is basis without warranty of any kind. 1073527727 is maintained by the National Plan & Provider Enumeration System. The contents of Glen Chapman M.D. are for informational purposes only.