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NPI Code Detail

MEDICARE: MARC GLASSMAN INC

MEDICARE: MARC GLASSMAN INC
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
13336C0003XCommunity/Retail Pharmacy
2332B00000XDurable Medical Equipment & Medical Supplies
3333600000XPharmacy1411CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20713950OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1497760334
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARC GLASSMAN INC
Provider Business Mailing Address
First Line : 5841 W 130TH ST
Second Line :
City : PARMA
State : OH
Zip : 44130-9308
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 480 BOSTON POST RD
Second Line :
City : MILFORD
State : CT
Zip : 06460-2529
Country : US
Telephone Number : 203-877-7828
Fax Number : 203-882-5775
Authorized Official
Title or Position : 3RD PARTY ADMIN
Name : DAVID FLORMAN
Credential :
Telephone Number : 216-265-7700
Provider Enumeration Date : 07/29/2006
Last Update Date : 04/15/2013

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Directions to “MARC GLASSMAN INC ” Practice Location

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