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Contact Information

GLEN S NI, MD
907 SUMNER ST
GUARDIAN ANESTHESIA INC
STOUGHTON, MA02072
 Phone: 781-344-2325
 Fax: 781-341-8544
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for GLEN S NI · (Male)

NPI Number 1043206048
Status Active
Credentials MD
Entity Individual
Enumeration date 09/25/2005
Last updated 03/17/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MA License # 228264
  • NY License # 230098
Hospital affiliation(s)
  • GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    235 NORTH PEARL STREET
    BROCKTON, MA 02301
  • MORTON HOSPITAL - (Acute Care)
    88 WASHINGTON STREET
    TAUNTON, MA 02780
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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