Individual
JONATHAN MICHAEL GLANZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-8311
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
258959
MA
2085R0001X
Radiation Oncology Physician
Primary
MD20722
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD20722
LICENSE
RI
Enumeration date
06/19/2012
Last updated
09/15/2025
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