Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | PD253R | LA |
NPI | 1255330551 |
---|---|
Provider Name | Dr. Marc Steven Glovinsky |
First Address | Metairie, LA 70006-2931 |
Second Address | Metairie, LA 70006-2931 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 08/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U74738 | (02) | LA |