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Individual
DR. GLENN A DAVISON
Active
Individual
DR. GLENN A DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00196300
NJ
213E00000X
Podiatrist
N0046131
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245201
—
NJ
01
—
1K5292
HEALTH NET
—
01
—
3964640001
HEALTHNOW DMERC
—
01
—
4532318
AETNA
—
01
—
6200292
GHI
—
01
—
864965
UNITED HEALTH CARE
—
01
—
9350065
CIGNA HEALTH PLANS
—
01
—
P2215561
OXFORD
—
Enumeration date
08/30/2006
Last updated
12/07/2007
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