Individual
KENNETH GLAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
477 LAKEHURST RD, TOMS RIVER, NJ 08755-6342
(732) 349-4422
Mailing address
477 LAKEHURST RD, TOMS RIVER, NJ 08755-6342
(732) 349-4422
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA07182400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993106
—
NJ
Enumeration date
04/26/2006
Last updated
07/17/2008
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