# GLAUCO RADOSLOVICH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1598732935
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 25MA0575800 | NJ | Yes |

## Other

- **Enumeration date:** 03/03/2006
- **Last updated:** 07/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000120940 | GHI HMO | NJ |
| 05 | — | 02868633 | — | NY |
| 01 | — | 2101549 | GHI PPO | NJ |
| 01 | — | 2307025 | AETNA HMO | NJ |
| 01 | — | 4545953 | AETNA PPO | NJ |
| 05 | — | 5387906 | — | NJ |
| 01 | — | 81061 | AMERIGROUP | NJ |
| 01 | — | BS504 | OXFORD | NJ |