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Individual

DOUGLAS GLENDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HIS 28

Contact information

Practice address
15 CHESTNUT ST, NORTH READING, MA 01864-2815
(978) 664-2374
Mailing address
15 CHESTNUT ST, NORTH READING, MA 01864-2815
(978) 664-2374

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
S41684644
MA

Other

Enumeration date
06/21/2013
Last updated
06/21/2013
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