Provider Demographics
NPI:1376821801
Name:GLYNN, AARON ANTHONY (MB MCH FRCS(TR&ORTH))
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:ANTHONY
Last Name:GLYNN
Suffix:
Gender:M
Credentials:MB MCH FRCS(TR&ORTH)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ST. ANN'S
Mailing Address - Street 2:GRANTSTOWN VILLAGE
Mailing Address - City:WATERFORD
Mailing Address - State:IRELAND
Mailing Address - Zip Code:0000000
Mailing Address - Country:IE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:925 CHESTNUT ST
Practice Address - Street 2:ROTHMAN INSTITUTE AT JEFFERSON UNIVERSITY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4216
Practice Address - Country:US
Practice Address - Phone:180-032-1999
Practice Address - Fax:215-503-0568
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD443301207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery