GLEN KENNETH PROVIDENCE

SHARON, PA
NPI1952619975
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: PA  MD443812)
Enumeration Date2010-09-24
Last Update Date2013-12-11
Business Address
DR. GLEN KENNETH PROVIDENCE MD
197 E SILVER ST SUITE 2
SHARON, PA 16146-2186
Phone number: 724-342-6604
Mailing Address
DR. GLEN KENNETH PROVIDENCE MD
100 SHENANGO AVE
SHARON, PA 16146-1503
Phone number: 724-342-6604
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