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NPI Profile for GLENN E IRWIN JR in BRADFORD, PA.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice | |
Emergency Medicine |
207P00000X | 93 | Physician/Emergency Medicine | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] |
| NPI # | 1093793598 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 01/04/2006 | |
| Last updated | 01/31/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GLENN E IRWIN JR
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GLENN E IRWIN JR, MD