Active NPIIndividual provider

Glenn R Mclintock, MD

Internal Medicine in Haddon Township, New Jersey

NPI Number1073590121
Practice location
216 Haddon Ave, Haddon Township, NJ 08108-2809
Fax
856-854-6700
Last updated
October 19, 2020

Glenn R Mclintock is an Internal Medicine based in Haddon Township, NJ. Glenn R Mclintock practices in Haddon Township, NJ and has the professional credentials of MD. The NPI Number for Glenn R Mclintock is 1073590121 and holds a License No. 25MA06771400 (NJ). The current practice location address for Glenn R Mclintock is 216 Haddon Ave, Haddon Township, NJ 08108-2809 and can be reached out via phone at 856-854-6600 and via fax at 856-854-6700.

Provider Profile Details

NPI Number
1073590121
Provider Name
Glenn R Mclintock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
216 Haddon Ave, Haddon Township, NJ 08108-2809
Phone Number
856-854-6600
Fax Number
856-854-6700
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
December 29, 2005
Last Update Date
October 19, 2020
Certification Date
October 19, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
216 Haddon Ave
Haddon Township, NJ 08108-2809
Zip
08108-2809
Phone Number
856-854-6600
Fax Number
856-854-6700
Haddon Township, NJ 08108Get directions →

Provider Business Mailing Address Details

Address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
City
Marlton
State
NJ
Zip
08053-4197
Phone Number
856-355-0340
Fax Number
856-355-0330

License Information

License Number
25MA06771400
License State
NJ
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Glenn R Mclintock, MD?

The NPI number of Glenn R Mclintock, MD is 1073590121. It was assigned on December 29, 2005 and is currently active in the NPPES registry.

What is the specialty of Glenn R Mclintock, MD?

Glenn R Mclintock, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MA06771400.

Where does Glenn R Mclintock, MD practice?

The practice location is 216 Haddon Ave, Haddon Township, NJ 08108-2809. The office can be reached at 856-854-6600 (phone) or 856-854-6700 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073590121 directly on the NPPES registry website.

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