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Individual

DR. WAYNE B GLAZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
85 PRESCOTT ST, SUITE 403, WORCESTER, MA 01605-2610
(508) 753-7259
(508) 753-9577
Mailing address
85 PRESCOTT ST, SUITE 403, WORCESTER, MA 01605-2610
(508) 753-7259
(508) 753-9577

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
39441
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0176184
MA
Enumeration date
05/28/2006
Last updated
03/05/2014
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