Provider Demographics
NPI:1811014103
Name:PRANSKY, GLENN STUART (MD)
Entity type:Individual
Prefix:DR
First Name:GLENN
Middle Name:STUART
Last Name:PRANSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:102 BARTON DR
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-2544
Mailing Address - Country:US
Mailing Address - Phone:508-497-0234
Mailing Address - Fax:508-435-8136
Practice Address - Street 1:71 FRANKLAND RD
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748-1231
Practice Address - Country:US
Practice Address - Phone:508-497-0234
Practice Address - Fax:508-435-8136
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA52072207R00000X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine