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NPI Code Detail

MEDICARE: DR. CAROL A GLESSNER MD

MEDICARE: DR. CAROL A GLESSNER 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
1207Q00000XFamily Medicine PhysicianMD-052246-LPA

General Provider Information

NPI Number : 1528038098
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROL A GLESSNER MD
Provider Business Mailing Address
First Line : 154 EXTON SQUARE MALL
Second Line : MAIN LINE HEALTH CENTER
City : EXTON
State : PA
Zip : 19341-2440
Country : US
Telephone Number : 484-565-8500
Fax Number : 610-280-1595
Provider Business Practice Location Address
First Line : 154 EXTON SQUARE MALL
Second Line : MAIN LINE HEALTH CENTER
City : EXTON
State : PA
Zip : 19341-2440
Country : US
Telephone Number : 484-565-8500
Fax Number : 610-280-1595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 10/13/2014

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Directions to “ DR. CAROL A GLESSNER MD” Practice Location

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