Provider Demographics
NPI:1184668634
Name:KAYE, GLENN M (MD)
Entity Type:Individual
Prefix:
First Name:GLENN
Middle Name:M
Last Name:KAYE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2851 BAGLYOS CIR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020-8033
Mailing Address - Country:US
Mailing Address - Phone:610-867-7134
Mailing Address - Fax:610-867-7108
Practice Address - Street 1:2851 BAGLYOS CIR
Practice Address - Street 2:SUITE 201
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8033
Practice Address - Country:US
Practice Address - Phone:610-867-7134
Practice Address - Fax:610-867-7108
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2009-11-05
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05907000207Y00000X
PAMD070356L207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ79678OtherOPER ENGINEERS LOCAL 825
PA1441938OtherHIGHMARK BLUE SHIELD
PA1441938OtherSENIOR BLUE
PAP3062887OtherOXFORD FREEDOM PLAN
PA1441938OtherKEYSTONE HEALTH PLAN CENT
PA40017782OtherRAILROAD MEDICARE
PA50004698OtherCAPITAL BLUE CROSS
PA6763353OtherCIGNA
PA7774222OtherAETNA USHC
PA1441938OtherHIGHMARK BLUE SHIELD
PAP3062887OtherOXFORD FREEDOM PLAN
PAF78299Medicare UPIN