Individual
DR. DEBORAH A GLAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2900
(603) 448-3122
(603) 448-7491
Mailing address
5 ALICE PECK DAY DR, LEBANON, NH 03766-2901
(603) 448-3122
(603) 448-7491
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7117
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001747
VT BCBS
VT
01
—
0104575YPNH01
ANTHEM BCBS
—
01
—
0457500
TRICARE
—
05
—
1001474
—
VT
01
—
1161027
CIGNA
—
05
—
30009660
—
NH
Enumeration date
10/20/2005
Last updated
04/14/2017
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