Individual
GLENN C HARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
332 WASHINGTON ST, WELLESLEY, MA 02481-6219
(781) 899-7092
Mailing address
15 RIPEY LANE, WESTON, MA 02493
(781) 899-7092
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
48717
MA
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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