| Deborah A. Glazer, MD | |
|
127 Mascoma St Lebanon NH 03766-2647 | |
| (603) 448-5886 | |
| (603) 448-3723 |
| Full Name | Deborah A. Glazer, MD |
|---|---|
| Speciality | Family Medicine |
| Location | 127 Mascoma St, Lebanon, New Hampshire |
| Authorized Official Name and Position | Deborah a Glazer (OWNER) |
| Authorized Official Contact | 6034485886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah A. Glazer, MD 127 Mascoma St Lebanon NH 03766-2647 Ph: (603) 448-5886 | Deborah A. Glazer, MD 127 Mascoma St Lebanon NH 03766-2647 Ph: (603) 448-5886 |
| NPI Number | 1134423213 |
|---|---|
| Provider Enumeration Date | 01/04/2011 |
| Last Update Date | 01/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134423213 | NPI | - | NPPES |
| 30009660 | Medicaid | NH | |
| 1001474 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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