Michael L Glenn, MD
Psychiatry & Neurology, Psychiatry in Medford, Massachusetts
1083753578- Practice location
- 26 Farragut Ave, Medford, MA 02155-4012
- Phone
- 781-396-6424
- Fax
- —
- Last updated
- July 8, 2007
Michael L Glenn is a Psychiatry & Neurology, Psychiatry based in Medford, MA. Michael L Glenn practices in Medford, MA and has the professional credentials of MD. The NPI Number for Michael L Glenn is 1083753578 and holds a License No. 33847 (MA). The current practice location address for Michael L Glenn is 26 Farragut Ave, Medford, MA 02155-4012 and can be reached out via phone at 781-396-6424.
Provider Profile Details
- NPI Number
- 1083753578
- Provider Name
- Michael L Glenn
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 26 Farragut Ave, Medford, MA 02155-4012
- Phone Number
- 781-396-6424
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 5, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 26 Farragut Ave
Medford, MA 02155-4012 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-4012
- Phone Number
- 781-396-6424
Provider Business Mailing Address Details
- Address
- 26 Farragut Ave
Medford, MA 02155-4012 - City
- Medford
- State
- MA
- Zip
- 02155-4012
- Phone Number
- 781-396-6424
License Information
- License Number
- 33847
- License State
- MA
- Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Michael L Glenn, MD?
The NPI number of Michael L Glenn, MD is 1083753578. It was assigned on February 5, 2007 and is currently active in the NPPES registry.
What is the specialty of Michael L Glenn, MD?
Michael L Glenn, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in MA under license number 33847.
Where does Michael L Glenn, MD practice?
The practice location is 26 Farragut Ave, Medford, MA 02155-4012. The office can be reached at 781-396-6424 (phone).
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 1083753578 directly on the NPPES registry website.