# GLASSNER FAMILY PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295885333
- **Authorized official:** MARK A GLASSNER MD (OWNER)
- **Authorized official phone:** (302) 369-9002

## Contact information

- **Practice address:** 324 E MAIN ST, SUITE 202, NEWARK, DE 19711-7150
- **Practice address phone:** (302) 369-2751
- **Practice address fax:** (302) 369-9077
- **Mailing address:** 324 E MAIN ST, SUITE 202, NEWARK, DE 19711-7150
- **Mailing address phone:** (302) 369-2751
- **Mailing address fax:** (302) 369-9077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C10002162 | NULL | Yes |
| 207Q00000X | Family Medicine Physician | C10002162 | — | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 11/30/2017