MEDICARE: HARVEY GLASSER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1457340846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARVEY GLASSER MD

Provider Business Mailing Address
First Line	:	3180 NE 165TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-3832
Country	:	US
Telephone Number	:	305-450-0581
Fax Number	:	305-945-1596

Provider Business Practice Location Address
First Line	:	3180 NE 165TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-3832
Country	:	US
Telephone Number	:	305-450-0581
Fax Number	:	305-945-1596

Authorized Official
Title or Position	:	OFFICE ADMINISTRATOR
Name	:	ELLEN R WAXELBAUM
Credential	:
Telephone Number	:	305-466-0030

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	08/22/2020

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