GLEN O LORIA

Dr GLEN O LORIA is a male medical professional, specializing in Internal Medicine. He graduated in 1975.

Contact

11905 ROCKAWAY BLVD
SOUTH OZONE PARK
NY
114202421

Tel: 7188433003

GLEN O LORIA Information

Npi 1730293671
Pac Id 1052576626
Professional Enrollment Id I20120705000129
Last Name LORIA
First Name GLEN
Middle Name O
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1975
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 11905 ROCKAWAY BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SOUTH OZONE PARK
State NY
Zip Code 114202421
Phone Number 7188433003
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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