Dr GLENN A DAVISON is a male medical professional, specializing in Podiatry. He graduated in 1989 from New York College Of Podiatric Medicine.
ADVANCED PODIATRY PA
1308 MORRIS AVE
SUITE 104
UNION
NJ
070833328
Tel: 9086885577
| Npi | 1285743559 |
| Pac Id | 0244341782 |
| Professional Enrollment Id | I20110322000311 |
| Last Name | DAVISON |
| First Name | GLENN |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | NEW YORK COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | PODIATRY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | ADVANCED PODIATRY PA |
| Group Practice Pac Id | 7113018185 |
| Number Of Group Practice Members | 2 |
| Line 1 Street Address | 1308 MORRIS AVE |
| Line 2 Street Address | SUITE 104 |
| Marker Of Address Line 2 Suppression | |
| City | UNION |
| State | NJ |
| Zip Code | 070833328 |
| Phone Number | 9086885577 |
| Hospital Affiliation Ccn 1 | 310076 |
| Hospital Affiliation Lbn 1 | SAINT BARNABAS MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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