Organization
GLYNN ORTHOPEDIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL WILLIAM GLYNN CO (PRESIDENT)
(781) 294-4270
Entity
Organization
Contact information
Practice address
4 MOUNTAIN AVE., PEMBROKE, MA 02359
(781) 294-4270
(781) 293-6307
Mailing address
4 MOUNTAIN AVE., PO BOX 1348, PEMBROKE, MA 02359
(781) 294-4270
(781) 293-6307
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528475
—
MA
01
—
272054
BLUE CROSS/BLUE SHIELD
MA
01
—
602057
HARVARD PILGRIM
MA
Enumeration date
08/23/2006
Last updated
10/22/2008
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