Individual
JOHN P. GLAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 ANDOVER RD, WESTBROOK, ME 04092-3848
(207) 761-2200
(207) 761-2108
Mailing address
78 ATLANTIC PL, SOUTH PORTLAND, ME 04106-2316
(207) 661-6654
(207) 842-7773
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35043231G
OH
2084P0800X
Psychiatry Physician
Primary
MD19711
ME
2084P0800X
Psychiatry Physician
TD121062
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0397315
—
OH
Enumeration date
05/03/2006
Last updated
06/22/2016
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