Provider Demographics
NPI:1588930994
Name:GLOGOWSKI, JOHN JAMES (NP-BC)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:JAMES
Last Name:GLOGOWSKI
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Gender:M
Credentials:NP-BC
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Mailing Address - Street 1:260 NEW LUDLOW ROAD
Mailing Address - Street 2:WESTERN MASS PHYSICIAN ASSOCIATES, INC
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020
Mailing Address - Country:US
Mailing Address - Phone:413-534-2622
Mailing Address - Fax:413-534-2661
Practice Address - Street 1:262 NEW LUDLOW ROAD
Practice Address - Street 2:CHICOPEE MEDICAL CENTER
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020
Practice Address - Country:US
Practice Address - Phone:413-552-3250
Practice Address - Fax:413-552-3255
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2012-11-02
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Provider Licenses
StateLicense IDTaxonomies
MARN2277407363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110092405AMedicaid
MA110092405AMedicaid