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NPI Code Detail

MEDICARE: MR. GLENN ANDREW HEALEY MD

MEDICARE: MR. GLENN ANDREW HEALEY 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
12085R0001XRadiation Oncology Physician015031ME

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 : 1770531386
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GLENN ANDREW HEALEY MD
Provider Business Mailing Address
First Line : PO BOX 689
Second Line :
City : BOALSBURG
State : PA
Zip : 16827-0689
Country : US
Telephone Number : 814-237-8627
Fax Number : 814-238-0083
Provider Business Practice Location Address
First Line : 361 OLD BELGRADE RD
Second Line :
City : AUGUSTA
State : ME
Zip : 04330-8058
Country : US
Telephone Number : 207-621-9400
Fax Number : 207-621-9402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 03/07/2023

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