Healthcare Provider Details

I. General information

NPI: 1265470090
Provider Name (Legal Business Name): ARTHUR HARRY GLASGOW M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 04/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 EDGEWATER DR SUITE 102
NORWOOD MA
02062-4642
US

IV. Provider business mailing address

309 MOODY ST 2ND FLOOR
WALTHAM MA
02453-5206
US

V. Phone/Fax

Practice location:
  • Phone: 781-769-5550
  • Fax: 781-769-5356
Mailing address:
  • Phone: 781-647-8555
  • Fax: 781-647-8553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number30806
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: