Dr Glenn R Trezza, PHD is a
Clinic/center - Va based in Boston, Massachusetts. Dr Glenn R Trezza is licensed to practice in Massachusetts (license number 6647) and his current practice location is
1 S Market St Ste 4, Boston, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(617) 460-4262.
NPI number for Dr Glenn R Trezza is 1639182256 and his current mailing address is 1 S Market St Ste 4, Boston, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639182256.
Healthcare Provider's Profile
| Full Name | Dr Glenn R Trezza |
|---|
| Gender | Male |
|---|
| Speciality | Clinic/center - Va |
|---|
| Location | 1 S Market St Ste 4, Boston, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639182256
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 10/02/2020
Medical Identifiers
Medical identifiers for Dr Glenn R Trezza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639182256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 6647 (Massachusetts) | Secondary |
| 103TC0700X | Psychologist - Clinical | 011533 (New York) | Secondary |
| 261QV0200X | Clinic/center - Va | 011533 (New York) | Secondary |
| 261QV0200X | Clinic/center - Va | 6647 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Glenn R Trezza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Glenn R Trezza, PHD
1 S Market St Ste 4,
Boston, MA 02109-6145
Ph: (617) 460-4262 | Dr Glenn R Trezza, PHD
1 S Market St Ste 4,
Boston, MA 02109-6145
Ph: (617) 460-4262 |
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