Individual
DR. GLENN E MISKOVSKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31 HALL DR, AMHERST MEDICAL CENTER, AMHERST, MA 01002-2751
(413) 256-8561
(413) 256-4421
Mailing address
31 HALL DR, AMHERST MEDICAL CENTER, AMHERST, MA 01002-2751
(413) 256-8561
(413) 256-4421
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207711
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115720
—
MA
01
—
J23077
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
07/28/2005
Last updated
07/08/2007
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