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Individual

DR. PETER GLASS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1525 WILSON BLVD STE 540, ARLINGTON, VA 22209-2444
(202) 315-5223
Mailing address
1525 WILSON BLVD STE 540, ARLINGTON, VA 22209-2444
(202) 315-5223

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
216050
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01764209
NY
01
33B591
EMPIRE BC.BS
NY
Enumeration date
07/05/2006
Last updated
07/21/2022
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