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Individual
NINA ELIZABETH GLASS
Active
Individual
NINA ELIZABETH GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA09883500
NJ
2086S0102X
Surgical Critical Care Physician
Primary
25MA09883500
NJ
2086S0127X
Trauma Surgery Physician
25MA09883500
NJ
Other
Enumeration date
04/14/2009
Last updated
09/13/2016
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