Individual
GLENN FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 GRAND ST, DELPHI ORTHOPEDIC CLINIC ON C-1, NEW BRITAIN, CT 06052-2016
(860) 224-5540
(860) 224-5942
Mailing address
PO BOX 339, ENGLEWOOD, FL 34295-0339
(941) 223-0555
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101040787
VA
207X00000X
Orthopaedic Surgery Physician
015946
ME
207X00000X
Orthopaedic Surgery Physician
2007-00852
NC
207X00000X
Orthopaedic Surgery Physician
214250
MA
207X00000X
Orthopaedic Surgery Physician
84747
FL
207X00000X
Orthopaedic Surgery Physician
Primary
ME84747
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MM968902
MEDICARE PTAN
NH
Enumeration date
02/14/2006
Last updated
01/07/2014
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