Glen Fitterman, Md, Pc

NPI 1407021769 - Surgery - 208600000X

NPI Details
NPI 1407021769
Enumeration Date 04/28/2008
Last Updated 04/28/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name GLEN GLEN
Position PRESIDENT
Phone (516) 931-5800
Fax
Practice Location
700 OLD COUNTRY RD
SUITE 204
PLAINVIEW NY, 11803-4932, US
Phone (516) 931-5800
Fax
Business Location
700 OLD COUNTRY RD
SUITE 204
PLAINVIEW NY, 11803-4932, US
Phone (516) 931-5800
Fax
Toxanomy
Taxonomy Code 208600000X
License State New York
License Number 177452
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According to our database, Glen Fitterman, Md, Pc NPI is 1407021769, taxonomy code is 208600000X and license number is 177452, license state is located at New York. Glen Fitterman, Md, Pc physically located at 700 Old Country Rd, Plainview NY, 11803-4932. NPI Number 1033115704 has the healthcare provider type.

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1407021769 NPI number is provided on an as is basis without warranty of any kind. 1407021769 is maintained by the National Plan & Provider Enumeration System. The contents of Glen Fitterman, Md, Pc are for informational purposes only.