Active NPI 1679570071 Individual Practitioner Male Practitioner

Dr. Stanley F Glazer , MD

Dermatology • Springfield, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stanley Glazer, MD is a certified Dermatology practicing in Springfield, MA. With approximately 54 years of clinical experience since completing medical education in 1972, Dr. Glazer delivers high-quality medical care to the local community at 3455 MAIN ST.

Dr. Glazer is affiliated with New England Dermatology Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3455 Main St
Ste 5

Springfield, MA 011071147

Telephone 4137339600

Fax 4137326534

Associated Practice Facility / Clinic

🏢 Orthotics West, Inc Facility NPI 1447255013

Medicare Profile & Education

Medical School

Other

Graduation Year

1972

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Springfield, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

54 Yrs +25.9 yrs vs City Avg

City Avg: 28.1 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

13 Specialists

Practicing in Springfield, MA (648 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Glazer (54 Years) 54 Yrs

Springfield Specialty Average (28.1 Years) 28.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,019	655	$224.48	$91.65
17003 Destruction of precancer skin growth, 2-14 growths	914	189	$31.11	$6.86
17000 Destruction of skin growth	355	252	$201.25	$55.18
17110 Destruction of up to 14 skin growths	269	224	$345.25	$109.60
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	222	42	$310.36	$123.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	130	$313.64	$129.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	139	122	$139.87	$57.23
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	53	43	$405.00	$388.66
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	47	43	$417.34	$142.19
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	46	37	$518.65	$164.65
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	43	34	$431.00	$124.15
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	41	33	$520.39	$168.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	40	20	$2.35	$0.97
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	28	23	$359.43	$97.93
11900 Injection into skin growth, 1-7 growths	26	18	$160.95	$50.95
11102 Tangential biopsy of single skin lesion	26	25	$310.62	$81.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	19	$437.86	$182.41
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	13	$594.58	$193.68
11200 Removal of skin tag, 1-15 skin tags	18	18	$263.67	$73.87
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	17	15	$482.59	$155.53
Q0112 All potassium hydroxide (koh) preparations	16	13	$7.00	$5.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	972	666	$215.00	$91.75
17003 Destruction of precancer skin growth, 2-14 growths	818	209	$30.00	$7.03
17000 Destruction of skin growth	358	260	$205.00	$57.35
17110 Destruction of up to 14 skin growths	271	217	$355.00	$112.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	117	$300.00	$129.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	138	115	$135.00	$58.15
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	118	41	$305.00	$124.86
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	65	16	$2.00	$1.05
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	58	46	$405.00	$384.68
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	51	46	$367.25	$149.12
11102 Tangential biopsy of single skin lesion	43	42	$269.00	$88.43
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	37	30	$511.89	$174.63
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	34	26	$508.71	$166.90
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	33	30	$416.45	$135.92
11900 Injection into skin growth, 1-7 growths	28	16	$160.36	$54.23
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	21	18	$472.10	$156.99
11200 Removal of skin tag, 1-15 skin tags	19	19	$256.26	$70.20
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	15	$587.13	$213.79
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	14	11	$350.93	$92.03
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	11	11	$348.09	$110.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,038	659	$188.03	$93.58
17003 Destruction of precancer skin growth, 2-14 growths	759	162	$30.00	$7.16
17000 Destruction of skin growth	325	231	$205.00	$57.05
17110 Destruction of up to 14 skin growths	306	249	$330.60	$113.95
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	241	43	$285.39	$127.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	193	154	$114.33	$58.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	114	$266.04	$131.87
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	68	41	$405.00	$388.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	61	16	$2.00	$1.11
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	55	42	$510.00	$169.01
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	53	41	$330.00	$155.66
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	42	31	$505.00	$160.52
11102 Tangential biopsy of single skin lesion	40	37	$260.00	$87.36
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	40	32	$415.00	$129.45
11900 Injection into skin growth, 1-7 growths	25	14	$160.00	$56.44
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	19	$585.00	$216.85
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	16	16	$345.00	$110.70
11104 Punch biopsy, first skin growth	16	15	$325.00	$131.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$256.43	$116.50
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	11	$535.00	$178.54
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	12	12	$320.00	$122.56
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	12	12	$330.00	$125.14
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$180.00	$76.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	999	622	$175.00	$95.03
17003 Destruction of precancer skin growth, 2-14 growths	626	152	$30.00	$6.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	320	252	$105.00	$58.73
17000 Destruction of skin growth	307	208	$205.00	$56.50
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	297	41	$280.00	$128.98
17110 Destruction of up to 14 skin growths	272	222	$320.00	$117.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	189	115	$255.00	$133.18
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	48	36	$415.00	$128.83
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	43	31	$505.00	$168.34
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	41	35	$510.00	$177.35
11102 Tangential biopsy of single skin lesion	39	37	$260.00	$95.97
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	38	28	$405.00	$390.50
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	33	28	$330.00	$157.27
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	31	15	$2.00	$1.27
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	24	21	$470.00	$151.42
11104 Punch biopsy, first skin growth	22	21	$325.00	$136.54
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	22	17	$345.00	$100.28
Q0112 All potassium hydroxide (koh) preparations	21	15	$7.00	$5.83
11900 Injection into skin growth, 1-7 growths	20	13	$160.00	$52.56
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	19	$585.00	$213.96
11200 Removal of skin tag, 1-15 skin tags	15	15	$255.00	$66.98
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	14	13	$350.00	$119.98
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	12	$535.00	$170.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$255.00	$117.59
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$180.00	$76.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	887	603	$175.00	$78.60
17003 Destruction of precancer skin growth, 2-14 growths	624	165	$30.00	$6.44
17000 Destruction of skin growth	293	227	$205.00	$54.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	208	$255.00	$113.40
17110 Destruction of up to 14 skin growths	225	192	$320.00	$112.88
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	205	43	$280.00	$125.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	151	130	$105.00	$47.30
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	52	46	$510.00	$179.45
11102 Tangential biopsy of single skin lesion	40	38	$260.00	$88.57
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	40	33	$415.00	$136.64
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	35	26	$505.00	$168.33
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	33	14	$2.00	$1.45
99441 Telephone medical discussion with physician, 5-10 minutes	26	23	$57.50	$46.65
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	25	17	$405.00	$389.95
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	25	22	$345.00	$104.46
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	24	17	$470.00	$142.53
11900 Injection into skin growth, 1-7 growths	21	14	$160.00	$50.43
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	19	17	$330.00	$143.92
11104 Punch biopsy, first skin growth	18	17	$325.00	$131.73
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	15	$535.00	$188.76
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	13	12	$330.00	$119.68
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	12	$350.00	$96.91
Q0112 All potassium hydroxide (koh) preparations	12	11	$7.00	$5.83
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	12	11	$320.00	$98.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	745	525	$175.00	$77.45
17003 Destruction of precancer skin growth, 2-14 growths	705	192	$29.66	$5.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	578	427	$255.00	$112.82
17000 Destruction of skin growth	380	275	$205.00	$55.55
17110 Destruction of up to 14 skin growths	287	231	$310.59	$112.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	221	168	$105.32	$47.17
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	184	42	$258.53	$122.63
11102 Tangential biopsy of single skin lesion	101	92	$257.16	$83.53
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	46	34	$374.93	$121.78
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	45	36	$468.29	$170.21
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	42	40	$451.43	$182.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	42	18	$2.00	$1.57
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	35	20	$405.00	$390.60
11900 Injection into skin growth, 1-7 growths	34	22	$133.47	$49.86
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	26	20	$305.00	$132.65
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	21	18	$421.90	$153.36
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	19	13	$247.11	$100.36
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	18	$471.44	$187.59
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	13	$484.80	$210.17
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	14	13	$384.00	$120.25
11103 Biopsy of related skin growth, each additional growth	13	13	$140.00	$56.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	847	599	$165.44	$73.66
17003 Destruction of precancer skin growth, 2-14 growths	643	186	$26.86	$5.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	447	314	$242.34	$108.73
17000 Destruction of skin growth	363	261	$192.71	$54.14
17110 Destruction of up to 14 skin growths	272	218	$278.09	$107.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	245	188	$98.80	$44.58
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	161	42	$190.03	$117.26
11100 Biopsy of single growth of skin and/or tissue	119	105	$256.72	$92.63
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	71	60	$318.00	$127.03
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	58	46	$387.00	$168.17
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	37	35	$387.00	$160.07
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	30	23	$369.00	$145.10
11900 Injection into skin growth, 1-7 growths	29	15	$119.00	$47.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	27	19	$2.00	$1.81
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	16	$418.00	$187.96
11101 Biopsy of each additional growth of skin and/or tissue	18	16	$110.00	$33.23
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	15	12	$386.33	$380.06
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	13	$392.00	$184.58
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	14	12	$280.00	$118.93
10060 Simple or single drainage of skin abscess	14	14	$250.00	$113.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	858	631	$160.00	$75.32
17003 Destruction of precancer skin growth, 2-14 growths	655	196	$25.00	$5.89
17000 Destruction of skin growth	384	289	$185.00	$56.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	384	282	$235.00	$111.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	319	219	$95.00	$45.27
17110 Destruction of up to 14 skin growths	259	214	$270.00	$108.65
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	219	43	$175.00	$75.70
11100 Biopsy of single growth of skin and/or tissue	127	110	$250.00	$87.80
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	85	65	$387.00	$165.83
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	56	48	$318.00	$132.78
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	38	29	$387.00	$160.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	34	22	$2.00	$1.72
11900 Injection into skin growth, 1-7 growths	33	22	$119.00	$49.30
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	27	25	$369.00	$143.20
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	22	18	$364.55	$356.37
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	21	18	$280.95	$144.31
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	15	$418.00	$212.59
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	14	$392.00	$169.59
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	15	15	$356.00	$98.14
11200 Removal of skin tag, 1-15 skin tags	13	12	$185.00	$63.94

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MA 35736

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield

GLM08483 (MA)

Commercial Insurance / Payer ID Tufts Health Plans

035736

Commercial Insurance / Payer ID Railroad Medicare

070006134

Commercial Insurance / Payer ID Health New England

12645 (MA)

Commercial Insurance / Payer ID United Health Care

0304276

Commercial Insurance / Payer ID Connecticare

4841862202 (CT)

Hospital & Practice Group Affiliations

New England Dermatology Pc

3455 Main St, Springfield, MA 011071147

Phone: 4137339600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners

Kiersten Revord , PA-C

Physician Assistant

NPI 1033535133

Physician Assistant (Certified)

Alyssa Desmarais , PA-C

Physician Assistant

NPI 1043736739

Physician Assistant (Certified)

Dr. Michael Loosemore , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1063619146

Doctor of Medicine (M.D.)

Amy Doyle , PA-C

Physician Assistant

NPI 1073130365

Physician Assistant (Certified)

David Goudreault , PA-C

Physician Assistant - Medical

NPI 1215668207

Physician Assistant (Certified)

Devan Chen

Physician Assistant

NPI 1285584466

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 24, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 24, 2008

Registered at 3455 MAIN ST, STE 5, SPRINGFIELD, MA 011071147 (Tel: 4137339600)

📍

Updated Business Mailing Address April 24, 2008

Registered at 3455 MAIN ST, STE 5, SPRINGFIELD, MA 011071147 (Tel: 4137339600)

👤

Provider Name / Credentials Updated April 24, 2008

Recorded as STANLEY GLAZER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2008

Dermatology (License #35736 in MA)

🟢

Initial NPI Registration & Enumeration June 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1679570071

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 30, 2005

Last Update: April 24, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3455 Main St, Ste 5

Springfield, MA 011071147

Phone: 4137339600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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