Healthcare Provider Details

I. General information

NPI: 1841238110
Provider Name (Legal Business Name): ARNOLD GLAZIER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 BRANDEIS RD
NEWTON CENTER MA
02459-2707
US

IV. Provider business mailing address

9 BRANCEIS ROAD
NEWTON MA
02159-2707
US

V. Phone/Fax

Practice location:
  • Phone: 617-848-0924
  • Fax:
Mailing address:
  • Phone: 617-848-0924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number50024
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: