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Dr. Glenn R Provdo, DPM
Podiatrist in Toms River, New Jersey
NPI 1467574814

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 (New Jersey).

The current practice location address for Glenn R Provdo is 2446 Church Rd, Toms River, NJ and can be reached out via phone at 732-255-8637 and via fax at 609-698-6813.

Location: 2446 Church Rd, Toms River, NJ, 08753-8182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467574814
Provider Name
Glenn R Provdo
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2446 Church Rd, Toms River, NJ, 08753-8182
Phone Number
732-255-8637
Fax Number
609-698-6813
Provider Enumeration Date
04/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2446 Church Rd
City
Toms River
State
New Jersey
Zip
08753-8182
Phone Number
732-255-8637
Fax Number
609-698-6813
person
Provider Business Mailing Address Details
Address
2446 Church Rd
City
Toms River
State
New Jersey
Zip
08753-8182
Phone Number
732-255-8637
Fax Number
609-698-6813
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
25MD00149000 (New Jersey)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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