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Dr. Glen R. Goldfarb, MD
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in St Petersburg, Florida
NPI 1548255151

Glen R. Goldfarb is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician based in St Petersburg, FL and is specialized in Plastic Surgery within the Head & Neck. Glen R. Goldfarb practices in St Petersburg, FL and has the professional credentials of MD. The NPI Number for Glen R. Goldfarb is 1548255151 and holds a License No. ME66028 (Florida).

The current practice location address for Glen R. Goldfarb is 620 10Th Street N., St Petersburg, FL and can be reached out via phone at 727-824-8375 and via fax at 727-824-7140.

Location: 620 10Th Street N., St Petersburg, FL, 33733-2868
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548255151
Provider Name
Glen R. Goldfarb
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
620 10Th Street N., St Petersburg, FL, 33733-2868
Phone Number
727-824-8375
Fax Number
727-824-7140
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
261168600 05 FL
institution
Provider Business Practice Location Address Details
Address
620 10Th Street N.
City
St Petersburg
State
Florida
Zip
33705-1407
Phone Number
727-824-8375
Fax Number
727-824-7140
person
Provider Business Mailing Address Details
Address
620 10Th Street N.
City
St Petersburg
State
Florida
Zip
33705-1407
Phone Number
727-824-8375
Fax Number
727-824-7140
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
207YX0007X
License No.
ME66028 (Florida)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
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