Active NPIIndividual provider

Glennon J Ogrady

Family Medicine in Dorchester, Massachusetts

NPI Number1174502140
Practice location
2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124
Fax
978-686-4137
Last updated
March 23, 2012

Glennon John Ogrady is a Family Medicine based in Dorchester, MA. Glennon John Ogrady practices in Dorchester, MA. The NPI Number for Glennon John Ogrady is 1174502140 and holds a License No. 59292 (MA). The current practice location address for Glennon John Ogrady is 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124 and can be reached out via phone at 617-506-4970 and via fax at 978-686-4137.

Provider Profile Details

NPI Number
1174502140
Provider Name
Glennon John Ogrady
Provider Entity Type
Individual
Gender
Male
Address
2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124
Phone Number
617-506-4970
Fax Number
978-686-4137
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
January 10, 2006
Last Update Date
March 23, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
2100 Dorchester Avenue
Family Medicine
Dorchester, MA 02124
Zip
02124
Phone Number
617-506-4970
Fax Number
978-686-4137
Dorchester, MA 02124Get directions →

Provider Business Mailing Address Details

Address
2100 Dorchester Avenue
Family Medicine
Dorchester, MA 02124
City
Dorchester
State
MA
Zip
02124
Phone Number
617-506-4970
Fax Number
978-686-4137

License Information

License Number
59292
License State
MA
Taxonomy
Family Medicine · 207Q00000X · 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 Glennon J Ogrady?

The NPI number of Glennon J Ogrady is 1174502140. It was assigned on January 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Glennon J Ogrady?

Glennon J Ogrady is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 59292.

Where does Glennon J Ogrady practice?

The practice location is 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124. The office can be reached at 617-506-4970 (phone) or 978-686-4137 (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 1174502140 directly on the NPPES registry website.

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