Individual
EMERALD GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
82 WENDELL AVE STE 100, PITTSFIELD, MA 01201-7066
(413) 216-5040
Mailing address
64 MEREDITH ST, SPRINGFIELD, MA 01108-2719
(413) 216-5040
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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