Individual
ERIC DANIEL GLASS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
301 LAKE ST, DALLAS, PA 18612-1090
(570) 674-6716
Mailing address
6 GEORGE ST FL 2, PITTSTON, PA 18640-1904
(717) 870-0571
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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