James J. Glynn, M.D. A Medical Corporation in Petaluma - Specialist
James J. Glynn, M.D. A Medical Corporation - NPI 1770768657
James J. Glynn, M.D. A Medical Corporation is a Specialist in Petaluma, California. James J. Glynn, M.D. A Medical Corporation practices all healthcare services and medical treatments related to Specialist. The NPI Number for James J. Glynn, M.D. A Medical Corporation is 1770768657. The last update date is 2012-11-27.
James J. Glynn, M.D. A Medical Corporation's current location address is 1496 Professional Dr, Petaluma, California. You can contact this provider via phone number 7077781131 and fax number 7077783818. The mailing address for James J. Glynn, M.D. A Medical Corporation is 1496 Professional Dr, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | James J. Glynn, M.D. A Medical Corporation |
|---|---|
| Address | 1496 Professional Dr, Petaluma, California |
| Phone Number | 7077781131 |
| Fax Number | 7077783818 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Newcomer J Mimi |
| Telephone Number | 7077781131 |
NPI Number Detail
| NPI Number | 1770768657 |
|---|---|
| Provider Enumeration Date | 2008-01-09 |
| Last Updated Date | 2012-11-27 |
Provider Mailing Address Detail
| Address | 1496 Professional Dr |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949546698 |
| Phone Number | 7077781131 |
| Fax Number | 7077783818 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G22422 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1770768657 | CA | NPI | |
| DL686A | CA | PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to James J. Glynn, M.D. A Medical Corporation by the Centers for Medicare & Medicaid Services?
The James J. Glynn, M.D. A Medical Corporation has been issued the NPI (National Provider Identifier) 1770768657 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the James J. Glynn, M.D. A Medical Corporation's physical address?
The James J. Glynn, M.D. A Medical Corporation is physically located at 1496 Professional Dr, in the city of Petaluma, CA, with the postal code 949546698.
What is James J. Glynn, M.D. A Medical Corporation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for James J. Glynn, M.D. A Medical Corporation is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the James J. Glynn, M.D. A Medical Corporation receive its 1770768657 assignment from the Centers for Medicare & Medicaid Services?
The James J. Glynn, M.D. A Medical Corporation was assigned its 1770768657 by the Centers for Medicare & Medicaid Services on 2008-01-09.
As of what date were the details related to James J. Glynn, M.D. A Medical Corporation most recently updated or revised?
The information pertaining to James J. Glynn, M.D. A Medical Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2012-11-27.