Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Glenn R Provdo, DPM

Individual provider Podiatrist · NPI 1467574814

Dr. Glenn R Provdo, DPM is a Podiatrist in Toms River, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

2446 Church Rd Ste 2C
Toms River, NJ 08753-8182
Phone: (732) 255-8637
Fax: (609) 698-6813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 25MD00149000 (NJ)

Record details

NPI number1467574814
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedApril 5, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2446 Church Rd, Suite 2c, Toms River, NJ 08753-8182

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