Individual
DR. ANDREW I GLANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 ALBANY ST, SHAPIRO 3RD FLOOR, SUITE A, BOSTON, MA 02118-2526
(617) 414-4861
(617) 414-3617
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
223987
MA
2086S0102X
Surgical Critical Care Physician
Primary
223987
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110040928A
—
MA
Enumeration date
03/27/2006
Last updated
06/26/2014
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