Organization
RUSSEL S GLAUN MD PA
Active
Organization
RUSSEL S GLAUN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSEL SELWYN GLAUN MD (PRESIDENT)
(561) 392-4558
Entity
Organization
Contact information
Practice address
1590 NW 10TH AVE, SUITE 304, BOCA RATON, FL 33486-1313
(561) 392-4558
(561) 392-0041
Mailing address
1590 NW 10TH AVE, SUITE 304, BOCA RATON, FL 33486-1313
(561) 392-4558
(561) 392-0041
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
ME70420
FL
Other
Enumeration date
02/27/2007
Last updated
12/12/2008
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