Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN R. GOLDFARB, M.D.
ActiveDR. GLEN R. GOLDFARB, M.D. is a Plastic Surgery within the Head & Neck healthcare provider located in ST PETERSBURG, Florida. NPI 1548255151 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery within the Head & Neck · ST PETERSBURG, FL
Registration Details
- NPI Number
- 1548255151
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2005 (20.921584085142 yrs)
- Last Updated
- Nov 4, 2016
- License
-
ME66028 (FL)
Practice Information
- Address
-
620 10TH STREET N.ST PETERSBURG, FL, 337051407Browse FL providers · Browse ZIP 33705
- Phone
- 7278248375
- Fax
- 7278247140
- Primary Specialty
-
Plastic Surgery within the Head & Neck
207YX0007X
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.