Individual
MORTON I GLANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8374
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
55516
MA
208M00000X
Hospitalist Physician
Primary
55516
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014941
NEIGHBORHOOD HEALTH
MA
01
—
055516
TUFTS
MA
05
—
3040119
—
MA
01
—
J06984
BLUE CROSS
MA
01
—
M448
HARVARD PILGRIM
MA
Enumeration date
07/05/2006
Last updated
11/26/2014
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