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NPI Code Detail

MEDICARE: GLENN ARNOLD HEBEL MD

MEDICARE: GLENN ARNOLD HEBEL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianMD08916RI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932164969
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENN ARNOLD HEBEL MD
Provider Business Mailing Address
First Line : 11 FRIENDSHIP ST
Second Line :
City : NEWPORT
State : RI
Zip : 02840-2271
Country : US
Telephone Number : 401-845-1594
Fax Number : 401-847-0650
Provider Business Practice Location Address
First Line : 11 FRIENDSHIP ST
Second Line :
City : NEWPORT
State : RI
Zip : 02840-2271
Country : US
Telephone Number : 401-845-1594
Fax Number : 401-847-0650
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 02/20/2009

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