MEDICARE: DR. ARTHUR LEWIS GLASER 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	207RN0300X	Nephrology Physician	35803	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	26032	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1851398887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR LEWIS GLASER MD

Provider Business Mailing Address
First Line	:	333 17TH ST
Second Line	:	SUITE L
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5670
Country	:	US
Telephone Number	:	772-770-2344
Fax Number	:	772-770-2485

Provider Business Practice Location Address
First Line	:	333 17TH ST
Second Line	:	SUITE L
City	:	VERO BEACH
State	:	FL
Zip	:	32960-5670
Country	:	US
Telephone Number	:	772-770-2344
Fax Number	:	772-770-2485

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	11/09/2009

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