Sean Glass MD

NPI 1083938955 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1083938955
Gender Male
Enumeration Date 03/22/2010
Last Updated 08/01/2014
Entity Type Individual
Active Over 6 years ago
Practice Location
55 FRUIT ST
WARREN 605
BOSTON MA, 02114-2621, US
Phone (617) 726-5758
Fax
Business Location
55 FRUIT ST
BOSTON MA, 02114-2621, US
Phone
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Massachusetts
License Number 258687
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According to our database, Dr. Sean Glass MD NPI is 1083938955, taxonomy code is 2084P0800X and license number is 258687, license state is located at Massachusetts. Sean Glass MD physically located at 55 Fruit St, Boston MA, 02114-2621. NPI Number Sean Glass MD has the Individual type.

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1083938955 NPI number is provided on an as is basis without warranty of any kind. 1083938955 is maintained by the National Plan & Provider Enumeration System. The contents of Sean Glass MD are for informational purposes only.