Search › Pennsylvania › 207R00000X
Glen Providence, MD
NPI 1952619975 · on the registry since 2010
Practice
- Address
- 197 E Silver St
Suite 2
Sharon, PA 16146 - Phone
- (724) 342-6604
- Fax
- (724) 342-1601
- Organisation at this address
- Primary Health Network
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-12-11
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 Pennsylvania