Individual
MR. GLENN NUTTALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(508) 583-4500
Mailing address
57 WAREHAM ST, CARVER, MA 02330-1716
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
161145
MA
207R00000X
Internal Medicine Physician
MA069408
NJ
Other
Enumeration date
09/02/2006
Last updated
10/05/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us