Individual
EUGENE M. GLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
252 S. 4TH STREET, GOOD SAMARITAN HOSPITAL, LEBANON, PA 17042
(717) 270-7644
(302) 358-2066
Mailing address
540 ROYAL RD, LEBANON, PA 17042-8929
(302) 547-3399
(302) 358-2066
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C10005739
DE
208000000X
Pediatrics Physician
C10005739
DE
2085R0202X
Diagnostic Radiology Physician
Primary
MD072803L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000024323
—
DE
Enumeration date
09/09/2005
Last updated
08/03/2011
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