Dr. Glenn R Provdo, DPM
Podiatrist in Toms River, New Jersey
1467574814- Practice location
- 2446 Church RD, Suite 2C, Toms River, NJ 08753-8182
- Phone
- 732-255-8637
- Fax
- 609-698-6813
- Last updated
- July 8, 2007
Glenn R Provdo is a Podiatrist based in Toms River, NJ. Glenn R Provdo practices in Toms River, NJ and has the professional credentials of DPM. The NPI Number for Glenn R Provdo is 1467574814 and holds a License No. 25MD00149000 (NJ). The current practice location address for Glenn R Provdo is 2446 Church RD, Suite 2C, Toms River, NJ 08753-8182 and can be reached out via phone at 732-255-8637 and via fax at 609-698-6813.
Provider Profile Details
- NPI Number
- 1467574814
- Provider Name
- Glenn R Provdo
- Credential
- DPM
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2446 Church RD, Suite 2C, Toms River, NJ 08753-8182
- Phone Number
- 732-255-8637
- Fax Number
- 609-698-6813
- Primary Taxonomy
- Podiatrist · 213E00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 5, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2446 Church RD
Suite 2C
Toms River, NJ 08753-8182 - City
- Toms River
- State
- New Jersey
- Zip
- 08753-8182
- Phone Number
- 732-255-8637
- Fax Number
- 609-698-6813
Provider Business Mailing Address Details
- Address
- 2446 Church RD
Suite 2C
Toms River, NJ 08753-8182 - City
- Toms River
- State
- NJ
- Zip
- 08753-8182
- Phone Number
- 732-255-8637
- Fax Number
- 609-698-6813
License Information
- License Number
- 25MD00149000
- License State
- NJ
- Taxonomy
- Podiatrist · 213E00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Podiatrists near Toms River, NJ
View all Podiatrists in Toms River →- Advanced Foot & Ankle Specialists, PCPodiatrist · NPI 1497252217
- Alex J OliveraPodiatrist · NPI 1801250675
- Darelle A Pfeiffer, DPMPodiatrist · NPI 1760483861
- Dr. Bruce W Cooperman, DPMPodiatrist · NPI 1275682783
- Dr. Nancy E Clark, DPMPodiatrist · NPI 1760400071
- James F. DonovanPodiatrist · NPI 1710349196
Frequently Asked Questions
What is the NPI number of Dr. Glenn R Provdo, DPM?
The NPI number of Dr. Glenn R Provdo, DPM is 1467574814. It was assigned on April 5, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Glenn R Provdo, DPM?
Dr. Glenn R Provdo, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number 25MD00149000.
Where does Dr. Glenn R Provdo, DPM practice?
The practice location is 2446 Church RD, Suite 2C, Toms River, NJ 08753-8182. The office can be reached at 732-255-8637 (phone) or 609-698-6813 (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 1467574814 directly on the NPPES registry website.