Organization
OB/GYN @ TREXLERTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY R GLAZERMAN MD (PRESIDENT)
(610) 402-0170
Entity
Organization
Contact information
Practice address
6900 HAMILTON BOULEVARD, TREXLERTOWN, PA 18087
(610) 402-0170
Mailing address
1650 VALLEY CENTER PKWY, SUITE 100, BETHLEHEM, PA 18017-2344
(484) 884-4436
(484) 884-4444
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02348600
CAPITAL
PA
01
—
2145774
AETNA HMO
PA
01
—
570721
AMERIHEALTH ADM
PA
01
—
5889774
AETNA PPO
PA
Enumeration date
05/26/2006
Last updated
08/22/2020
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