Individual
DR. GLEN KATSUTO NAGASAWA
Active
Individual
DR. GLEN KATSUTO NAGASAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
156198-1
NY
2084N0400X
Neurology Physician
Primary
35-07-6615-N
OH
Other
Enumeration date
12/05/2005
Last updated
10/27/2016
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