Individual
DR. GLEN WILLIAM BARRISFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-2621
(617) 726-4530
Mailing address
55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114-2621
(617) 726-4530
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01052414A
IN
208800000X
Urology Physician
215212
MA
208800000X
Urology Physician
Primary
250437
MA
Other
Enumeration date
11/29/2006
Last updated
02/11/2022
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