Individual
GLEN S. NI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
907 SUMNER ST, GUARDIAN ANESTHESIA INC, STOUGHTON, MA 02072
(781) 344-2325
(781) 341-8544
Mailing address
907 SUMNER ST, SUITE M201 GUARDIAN ANESTHESIA INC, STOUGHTON, MA 02072
(781) 344-2325
(781) 341-8544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
228264
MA
207L00000X
Anesthesiology Physician
230098
NY
Other
Enumeration date
09/25/2005
Last updated
03/17/2025
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