Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 181184 | NY |
NPI | 1316971732 |
---|---|
Provider Name | John Christopher Glantz |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 26/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01210219 | (05) | NY |
1854 | BLUE SHIELD OF ROCHESTER (01) | NY |
7603213 | AETNA (01) | NY |
E56478 | (02) | NY |
MD286L | PREFERRED CARE (01) | NY |
P010181184 | BLUE CHOICE (01) | NY |