Individual
DR. ALAN USHER GLAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 BALLYTORE RD, WYNNEWOOD, PA 19096-2318
(610) 649-0204
Mailing address
400 BALLYTORE RD, WYNNEWOOD, PA 19096-2318
(610) 649-0204
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD034218E
PA
208D00000X
General Practice Physician
MD034218E
PA
Other
Enumeration date
10/14/2005
Last updated
08/12/2021
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