Individual
ALBERT M GLUCKSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1624 WARWICK AVE, WARWICK, RI 02889
(401) 739-1336
(401) 732-2019
Mailing address
1624 WARWICK AVE, WARWICK, RI 02889
(401) 739-1336
(401) 732-2019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODTA00292
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2200186
UHC
RI
05
—
9009812
—
RI
01
—
98128
BLUE CROSS
RI
Enumeration date
04/04/2007
Last updated
07/08/2007
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