Individual
DR. JEFFREY W GLASSHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1010 LAS LOMAS RD NE, SUITE 4, ALBUQUERQUE, NM 87102-2634
(505) 246-8700
(866) 571-9011
Mailing address
1010 LAS LOMAS RD NE, SUITE 4, ALBUQUERQUE, NM 87102-2634
(505) 246-8700
(866) 571-9011
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
A-1656-12
NM
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
A-1656-12
NM
208D00000X
General Practice Physician
Primary
328058
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43522500
—
WI
05
—
76622339
—
NM
Enumeration date
12/13/2006
Last updated
04/30/2024
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