Individual
ANDREW THOMAS GLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 OSTRUM STREET, BETHLEHEM, PA 18015
(484) 526-4644
Mailing address
801 OSTRUM ST., BETHLETHEM, PA 18015
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
MT219832
PA
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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