Individual
GLENN A. GMYREK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15-01 BROADWAY, RT 4 WEST, SUITES 1 & 3, FAIR LAWN, NJ 07410
(201) 791-4544
(201) 791-6585
Mailing address
15-01 BROADWAY, RT 4 WEST, SUITES 1 & 3, FAIR LAWN, NJ 07410
(201) 791-4544
(201) 791-6585
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA07435800
NJ
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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