Davis, Glenn Alan

Davis, Glenn Alan is an individual health care provider with primary practice located at 385 Rte 24 Ste 1C, Chester NJ 07930-2918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Davis, Glenn Alan can be contacted via phone (908) 879-6277.

Contact Information

Primary practice address
385 Rte 24 Ste 1C Chester NJ 07930-2918
Phone: (908) 879-6277
Fax: (908) 879-4464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA56172 New Jersey

Profile Details

NPI number 1740275858
LBN Legal business name Davis, Glenn Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Oct 22nd, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740275858 NPPES
New Jersey MEDICAID 5002109

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