Individual
GLENN K ARZADON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11042 NICHOLAS LANE, SUITE B102, BERLIN, MD 21811-3333
(443) 523-0601
(410) 973-1453
Mailing address
PO BOX 1340, BERLIN, MD 21811-5340
(443) 523-0601
(410) 973-1453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D0058755
MD
207Q00000X
Family Medicine Physician
Primary
D58755
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400320900
—
MD
Enumeration date
10/18/2005
Last updated
12/09/2016
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