Individual
GLEN R LOVEJOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 PORTER DRIVE, PORTER HOSPITAL, MIDDLEBURY, VT 05753
(802) 388-4001
(802) 388-5612
Mailing address
30 COBB CITY RD, COLEBROOK, CT 06021-1121
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
420007650
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009688
—
VT
01
—
3843
BCBS
VT
05
—
3843
—
NY
01
—
77V126
MVP
VT
Enumeration date
09/29/2006
Last updated
01/29/2011
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