Individual
MR. JACK DAVID GLASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 MORNING GLORY DR, EASTON, CT 06612-2111
(203) 374-4689
(203) 374-3115
Mailing address
55 MORNING GLORY DR, EASTON, CT 06612-2111
(203) 374-4689
(203) 374-3115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17206
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001172063
—
CT
Enumeration date
08/29/2006
Last updated
10/17/2017
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