Individual
ANTHONY GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4700 ROCKSIDE RD STE 100, INDEPENDENCE, OH 44131-2148
(216) 750-2600
Mailing address
4700 ROCKSIDE RD STE 100, INDEPENDENCE, OH 44131-2148
(216) 750-2600
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
10/26/2020
Last updated
10/26/2020
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