Glenn R. Edgecombe, Md,pc

NPI 1083966055 - Family Medicine - 207Q00000X

NPI Details
NPI 1083966055
Enumeration Date 10/15/2012
Last Updated 10/15/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GLENN ROBERT GLENN
Position PHYSICIAN
Phone (301) 868-0150
Fax (301) 868-0243
Practice Location
7700 OLD BRANCH AVE
B201
CLINTON MD, 20735-1628, US
Phone (301) 868-0150
Fax (301) 868-0243
Business Location
7700 OLD BRANCH AVE
B201
CLINTON MD, 20735-1628, US
Phone (301) 868-0150
Fax (301) 868-0243
Toxanomy
Taxonomy Code 207Q00000X
License State Maryland
License Number D0023826
Remove 1083966055 NPI Number
 

According to our database, Glenn R. Edgecombe, Md,pc NPI is 1083966055, taxonomy code is 207Q00000X and license number is D0023826, license state is located at Maryland. Glenn R. Edgecombe, Md,pc physically located at 7700 Old Branch Ave, Clinton MD, 20735-1628. NPI Number 1033115704 has the healthcare provider type.

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1083966055 NPI number is provided on an as is basis without warranty of any kind. 1083966055 is maintained by the National Plan & Provider Enumeration System. The contents of Glenn R. Edgecombe, Md,pc are for informational purposes only.