Individual
DR. PATRICIA T GLOWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18 OLD ETNA RD, DHMC - FAMILY MEDICINE, LEBANON, NH 03766
(603) 650-4000
(603) 650-4198
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6250
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006976
—
VT
05
—
82086976
—
NH
Enumeration date
07/24/2006
Last updated
12/04/2012
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