Individual
GLENNON JOHN OGRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2100 DORCHESTER AVENUE, FAMILY MEDICINE, DORCHESTER, MA 02124
(617) 506-4970
(978) 686-4137
Mailing address
2100 DORCHESTER AVENUE, FAMILY MEDICINE, DORCHESTER, MA 02124
(617) 506-4970
(978) 686-4137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
59292
MA
Other
Enumeration date
01/10/2006
Last updated
03/23/2012
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