Mclintock, Glenn R

Mclintock, Glenn R is an individual health care provider with primary practice located at 216 Haddon Ave , Haddon Township NJ 08108-2809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mclintock, Glenn R can be contacted via phone (856) 854-6600.

Contact Information

Primary practice address
216 Haddon Ave Haddon Township NJ 08108-2809
Phone: (856) 854-6600
Fax: (856) 854-6700
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA06771400 New Jersey

Profile Details

NPI number 1073590121
LBN Legal business name Mclintock, Glenn R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Oct 19th, 2020 - about 5 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 1073590121 NPPES
New Jersey MEDICAID 7680309

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