Individual
MRS. BRIGID KEANE GLACKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
780 CHESTNUT ST, SUITE 14, SPRINGFIELD, MA 01107-1637
(413) 788-6456
(413) 733-4992
Mailing address
PO BOX 327, NORTHAMPTON, MA 01061-0327
(413) 788-6456
(413) 733-4992
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
44092
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0168343
—
MA
Enumeration date
10/17/2005
Last updated
05/24/2013
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