GLENN S BACON

DOVER, NH
NPI1780662262
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: NH  9896)
Enumeration Date2006-01-05
Last Update Date2015-03-06
Business Address
-- GLENN S BACON DO
789 CENTRAL AVE WENTWORTH DOUGLASS HOSPITAL
DOVER, NH 03820
Phone number: 603-749-7246
Mailing Address
-- GLENN S BACON DO
3998 FAIR RIDGE DR STE 300
FAIRFAX, VA 22033-2921
Phone number: 703-295-9360
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