Mary A Glenn
M.D. | Pediatrics | Female
Mary A Glenn, M.D. is a Groton, Connecticut based Pediatric doctor with medical specialization in
General Pediatrics. Mary A Glenn is also known as
Mary Angela Glenn.
Current practice location of Mary A Glenn is
495 Gold Star Hwy, Suite 120, Groton, Connecticut - 06340-6228. She can be contacted on phone at
860-449-8882 and fax number 860-449-9195.
Mary A Glenn is a sole proprietor of her business.
NPI number (Unique professional ID) for Mary A Glenn is
1790845949 which was assigned by NPPES on 11 Dec, 2006 and it was last updated on 08 Jul, 2007.
Mary A Glenn license number is
032910 for Pediatrics (208000000X) in Connecticut.
Mary A Glenn is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mary A Glenn basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Mary A Glenn |
|---|
| Other Name : | Mary Angela Glenn |
|---|
| Credential : | M.D. |
|---|
| Gender : | Female |
|---|
Business Address:
Mary A Glenn address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 495 Gold Star Hwy, Suite 120
Groton, CT, 06340-6228
United States |
|---|
| Phone Number : | 860-449-8882 |
|---|
| Fax Number : | 860-449-9195 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1790845949 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 11 Dec, 2006 |
|---|
| Last Updated On : | 08 Jul, 2007 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary A Glenn are as mentioned. Primary taxonomy code for Mary A Glenn, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 032910 | CT |
Legacy Identifiers:
Other legacy medical identifiers of Mary A Glenn such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2V6459 | Other | | HEALTH NET |
| 329100 | Other | | CONNECTICARE |
| 010032910CT-04 | Other | | BLUE CROSS BLUE SHIELD |
| 08211695-009 | Other | | CIGNA |
| P766722 | Other | | OXFORD |
| 4351240 | Other | | AETNA |
| 001329102 | MEDICAID | CT | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 495 Gold Star Hwy, Suite 120
Groton, CT, 06340-6228
United States |
|---|
| Phone Number : | 860-449-8882 |
|---|
| Fax Number : | 860-449-9195 |
|---|
Business Location:
Patients can refer following map for directions to
Mary A Glenn practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.