Individual
JOHN MICHAEL GLENDENING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
85 RETREAT AVE, HARTFORD, CT 06106-2555
(860) 972-4183
Mailing address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-4183
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA16739
CA
363AM0700X
Medical Physician Assistant
Primary
1026
CT
Other
Enumeration date
09/21/2006
Last updated
05/19/2023
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