Individual
DR. GLYNNE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
690 CANTON ST, SUITE 325, WESTWOOD, MA 02090-2321
(781) 407-7713
(781) 407-0998
Mailing address
690 CANTON ST, SUITE 325, WESTWOOD, MA 02090-2321
(781) 407-7713
(781) 407-0998
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
150109
MA
207L00000X
Anesthesiology Physician
ME23448
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174509269
—
ME
05
—
3147452
—
MA
Enumeration date
12/20/2005
Last updated
04/10/2024
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