Individual
DR. GLEN WILLIAM MCWILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 W KINGSBRIDGE RD # 1C-18, BRONX, NY 10468-3904
(718) 584-9000
(718) 741-4918
Mailing address
420 WEST 42ND STREET, SUITE 22 C, NEW YORK, NY 10036
(917) 968-5176
(646) 414-4122
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
217646
NY
208800000X
Urology Physician
Primary
217646-01
NY
208800000X
Urology Physician
70162
CT
Other
Enumeration date
09/05/2006
Last updated
05/03/2022
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