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Individual

DR. LEONARD CHARLES GLASER JR.

Active
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Individual

DR. LEONARD CHARLES GLASER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
022003
CT
207R00000X
Internal Medicine Physician
Primary
ME139291
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050632
CONNCARE
CT
05
—
103666800
—
FL
01
—
110217801
RR MEDICARE
CT
05
—
1220037
—
CT
01
—
2V0711
HEALTH NET
CT
01
—
4002857
AETNA
CT
01
—
HAP004
OXFORD
CT
Enumeration date
06/27/2006
Last updated
09/15/2020
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