Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 027621 | CT |
NPI | 1013968668 |
---|---|
Provider Name | Dr. Daniel T Glenney |
First Address | North Franklin, CT 06254-1807 |
Second Address | North Franklin, CT 06254-1807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
027621 | LICENSE (01) | CT |
B38711 | (02) | CT |