Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN EDGAR IRWIN JR., MD
Active Sole ProprietorGLENN EDGAR IRWIN JR., MD is a Adolescent Medicine healthcare provider located in BRADFORD, Pennsylvania. NPI 1093793598 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · BRADFORD, PA
Registration Details
- NPI Number
- 1093793598
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2006 (20.619546962866 yrs)
- Last Updated
- Jan 31, 2019
- Licenses
-
MD028763E (PA)MD028763E (PA)MD028763E (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
900 CHESTNUT STREET EXT STE ABRADFORD, PA, 16701Browse PA providers · Browse ZIP 16701
- Phone
- 8148172870
- Fax
- 8143688041
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- General Practice
- Additional Specialty
- Adolescent Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.