DR. Glen Kenneth Providence, MD

NPI #1952619975 in Sharon, Pennsylvania

Provider Information

NPI Number: 1952619975
Entity Type: Individual
Name: DR. Glen Kenneth Providence, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Sep 24, 2010
Last Updated: Dec 11, 2013

Practice Location

Address: 197 E SILVER ST
Address 2: SUITE 2
City: Sharon
State: Pennsylvania
ZIP Code: 16146-2186
Phone: (724) 342-6604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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