Individual provider · Type 1 NPI

Stephen Glennon, MD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1629761994 Active

Practice location

10800 Knights Rd
Philadelphia, PA 19114-4200

Call (215) 612-4000 Map

Other practice locations

  • 200 Hawkins Dr, Iowa City, IA 52242-1009 · (131) 935-6223

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000XR-12779 (IA)
Student in an Organized Health Care Education/Training Program Primary 390200000XMT232242 (PA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629761994

Stephen Glennon, MD's National Provider Identifier is 1629761994, issued on Jun 1, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 18, 2024.