Individual
JOSEPH R GLENNON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1212 KEMPTON ST, NEW BEDFORD, MA 02740-1503
(508) 997-3222
(508) 997-6848
Mailing address
1212 KEMPTON ST, NEW BEDFORD, MA 02740-1503
(508) 997-3222
(508) 997-6848
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2169
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0318515
—
MA
01
—
0481020001
SDMEA
MA
Enumeration date
08/25/2006
Last updated
05/01/2014
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