Organization
PAUL GLAZER, MD, LLC
Active
Parent organization
PAUL GLAZER, MD, LLC
Other names
Paul Glazer, MD, PCC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAUL GLAZER, MD, LLC
Authorized official
DR. PAUL ALLEN GLAZER MD (PRESIDENT)
(617) 667-2288
Entity
Organization
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-2288
(617) 667-2233
Mailing address
545 HAMMOND ST, CHESTNUT HILL, MA 02467-1703
(617) 667-2288
(617) 667-2233
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3157717
—
MA
Enumeration date
01/06/2014
Last updated
06/17/2014
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