Glenn Provdo, D.P.M

NPI 1467574814 · on the registry since 2007 · sole proprietor

Practice

Address: 2446 Church Rd
Suite 2c
Toms River, NJ 08753
Phone: (732) 255-8637
Fax: (609) 698-6813
Organisation at this address: Mobility Clinic Inc
Ideal Health Care Llc
Care-Advocates Usa Llc
Silverton Pediatrics Llc
Hmh Hospitals Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 213E00000X
213E00000X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey