| Glassner Family Practice Llc | |
|
324 E Main St Suite 202 Newark DE 19711-7150 | |
| (302) 369-2751 | |
| (302) 369-9077 |
| Full Name | Glassner Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 324 E Main St, Newark, Delaware |
| Authorized Official Name and Position | Mark A Glassner (OWNER) |
| Authorized Official Contact | 3023699002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glassner Family Practice Llc 324 E Main St Suite 202 Newark DE 19711-7150 Ph: (302) 369-2751 | Glassner Family Practice Llc 324 E Main St Suite 202 Newark DE 19711-7150 Ph: (302) 369-2751 |
| NPI Number | 1295885333 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 11/30/2017 |
| Medicare PECOS PAC ID | 4880950039 |
|---|---|
| Medicare Enrollment ID | O20171106000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295885333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | C10002162 (* (Not Available)) | Primary |
| Provider Name | Mark A Glassner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396746293 PECOS PAC ID: 1254239866 Enrollment ID: I20031220000047 |
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