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NPI Code Detail

MEDICARE: DR. BARRY GLASSER M.D.

MEDICARE:  DR. BARRY  GLASSER  M.D.
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
1207R00000XInternal Medicine PhysicianMA44569NJ

General Provider Information

NPI Number : 1487689162
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARRY GLASSER M.D.
Provider Business Mailing Address
First Line : 4206 KAREN CT
Second Line :
City : MAYS LANDING
State : NJ
Zip : 08330-3017
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4248 HARBOUR BEACH BLVD
Second Line :
City : BRIGANTINE
State : NJ
Zip : 08203-1361
Country : US
Telephone Number : 609-266-0400
Fax Number : 609-948-3047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2006
Last Update Date : 07/08/2007

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Directions to “ DR. BARRY GLASSER M.D.” Practice Location

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