Organization
WAYNE B GLAZIER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE B GLAZIER MD FACC (CORPORATION PRESIDENT)
(508) 753-7259
Entity
Organization
Contact information
Practice address
85 PRESCOTT ST, SUITE 403, WORCESTER, MA 01605-2610
(508) 753-7259
(508) 753-9577
Mailing address
85 PRESCOTT ST, SUITE 403, WORCESTER, MA 01605-2610
(508) 753-7259
(508) 753-9577
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
39441
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9731466
—
MA
Enumeration date
08/30/2006
Last updated
04/19/2013
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