# DR. GLENN D BABUS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700867413
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 0102201908 | VA | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 228217-1 | NY | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 25MB09495900 | NJ | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | DO0000002111 | TN | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | H0073176 | MD | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | J0434 | TX | — |

## Other

- **Enumeration date:** 11/09/2005
- **Last updated:** 01/09/2019