Individual
DR. GREGORY MARK GLENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14525 MONTEVIDEO RD, POOLESVILLE, MD 20837-8858
(240) 899-5566
Mailing address
14525 MONTEVIDEO RD, POOLESVILLE, MD 20837-8858
(301) 216-0742
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
M36700
MD
Other
Enumeration date
05/18/2007
Last updated
09/04/2012
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