Individual
DR. PAUL EDWIN GLASS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
69 CHURCH ST STE 6, LENOX, MA 01240-2540
(413) 551-7609
(413) 570-7242
Mailing address
69 CHURCH ST STE 6, LENOX, MA 01240-2540
(413) 551-7609
(413) 570-7242
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
261352
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811431943
GROUP NPI
—
Enumeration date
06/08/2008
Last updated
07/20/2022
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