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Individual

STANLEY F GLAZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3455 MAIN ST, STE 5, SPRINGFIELD, MA 01107-1147
(413) 733-9600
(413) 732-6534
Mailing address
3455 MAIN ST, STE 5, SPRINGFIELD, MA 01107-1147
(413) 733-9600
(413) 732-6534

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35736
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0304276
UNITED HEALTH CARE
01
035736
TUFTS HEALTH PLANS
01
070006134
RAILROAD MEDICARE
01
12645
HEALTH NEW ENGLAND
MA
01
4841862202
CONNECTICARE
CT
01
GLM08483
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/30/2005
Last updated
04/24/2008
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