Organization
DEBORAH A. GLAZER, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH A GLAZER MD (OWNER)
(603) 448-5886
Entity
Organization
Contact information
Practice address
127 MASCOMA ST, LEBANON, NH 03766-2647
(603) 448-5886
(603) 448-3723
Mailing address
127 MASCOMA ST, LEBANON, NH 03766-2647
(603) 448-5886
(603) 448-3723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001474
—
VT
05
—
30009660
—
NH
Enumeration date
01/04/2011
Last updated
01/04/2011
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