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Individual

CONSTANCE I GLASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12 ST PAUL DR STE 207, CHAMBERSBURG, PA 17201-1035
(717) 217-6882
(717) 217-6883
Mailing address
785 5TH AVENUE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4217

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
060823L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001643490 0004
PA
01
120420413
DEPT OF LABOR
PA
01
1360663
AETNA HMO
PA
01
1557277
GATEWAY
PA
01
186915
UNISON
PA
01
2144237
MAMSI
PA
01
25-1716306
HEALTHNET/TRICARE
PA
01
440475
HEALTH AMERICA
PA
01
50060634
CAPITAL BLUECROSS
PA
01
5409494
AETNA NON-HMO
PA
01
867633
MEDICARE GROUP #
PA
01
907136
HIGHMARK BLUE SHIELD
PA
01
G920-0061/KV77CU
CAREFIRST
PA
01
MD060823L
LICENSE
PA
01
P00377943
RAILROAD MEDICARE
PA
Enumeration date
07/12/2006
Last updated
03/07/2023
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