Individual
DANETTE GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
445 HURFFVILLE CROSSKEYS RD BLDG A, SEWELL, NJ 08080-2337
(856) 218-2312
(856) 770-9194
Mailing address
445 HURFFVILLE CROSSKEYS RD BLDG A, SEWELL, NJ 08080-2337
(856) 309-7700
(856) 770-9194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA05317900
NJ
207R00000X
Internal Medicine Physician
MD041291
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01243059
—
PA
05
—
0223191
—
NJ
Enumeration date
06/07/2006
Last updated
03/11/2024
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