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Individual

DR. DANIEL S GLASSTETTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
501 W 14TH ST, WILMINGTON HOSPITAL HEALTH CENTER, WILMINGTON, DE 19801-1013
(302) 320-4410
(302) 428-4078
Mailing address
200 HYGEIA DRIVE SUITE 2300, CCHS PHYSICIAN CONTRACTING, NEWARK, DE 19713-2049

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C1-0003927
DE
208000000X
Pediatrics Physician
C10003927
DE
208D00000X
General Practice Physician
C1-0003927
DE
208D00000X
General Practice Physician
C10003927
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1426522
PA
05
1528312
NY
05
1989316
MD
05
5479801
NJ
Enumeration date
09/28/2006
Last updated
11/09/2017
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