Individual
DR. GLENN BRUCE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
47 CHURCH ST, GROVETON, NH 03582-4061
(603) 636-1101
(603) 788-5041
Mailing address
47 CHURCH ST, GROVETON, NH 03582-4061
(603) 636-1101
(603) 788-5041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11297
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008094
—
VT
05
—
3072003
—
NH
01
—
AA18369
HARVARD PILGRIM HEALTH CA
—
Enumeration date
12/22/2005
Last updated
05/19/2015
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