Individual provider · Type 1 NPI

Glenn R. Provdo, D.P.M.

Podiatrist · Toms River, NJ

NPI number 1467574814 Active

Practice location

2446 Church Rd, Suite 2C
Toms River, NJ 08753-8182

Call (732) 255-8637 Map

Fax (609) 698-6813

Specialties and licenses

TaxonomyCodeLicense
Podiatrist Primary 213E00000X25MD00149000 (NJ)

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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About NPI 1467574814

Glenn R. Provdo, D.P.M.'s National Provider Identifier is 1467574814, issued on Apr 5, 2007. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Toms River, NJ. The record was last updated on Jul 8, 2007.