Individual
CHARLES E. GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
96A BROAD ST, GUILFORD, CT 06437-2635
(203) 453-3621
(203) 453-4501
Mailing address
96A BROAD ST, GUILFORD, CT 06437-2635
(203) 453-3621
(203) 453-4501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044810
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457688020
NPI FOR PRIVATE SOLO PRACTICE: INTERNAL MEDICINE OF GUILFORD LLC NPI
CT
Enumeration date
10/17/2005
Last updated
01/06/2010
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