Provider Demographics
NPI:1477621035
Name:GLENNEY, CHRISTOPHER U (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:U
Last Name:GLENNEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 PAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03570-3531
Mailing Address - Country:US
Mailing Address - Phone:603-752-7750
Mailing Address - Fax:603-752-6474
Practice Address - Street 1:7 PAGE HILL RD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NH
Practice Address - Zip Code:03570-3531
Practice Address - Country:US
Practice Address - Phone:603-752-7750
Practice Address - Fax:603-752-6474
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6412208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHE11400OtherHPHC
NH0105567YNH01OtherANTHEM
NH00000447Medicaid
NH0105567YNH01OtherANTHEM
RE7915Medicare PIN