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Individual
DR. GLENN WILLIAM CALLAHAN
Active
Individual
DR. GLENN WILLIAM CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0038981
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009045723
—
NY
01
—
P51251
BLUE CROSS BLUE SHIELD
NY
01
—
WS1077
OXFORD
NY
Enumeration date
10/06/2006
Last updated
05/24/2010
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