Individual
MARCIA H GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 CANAL ST, NEW ORLEANS, LA 70112
(504) 702-3000
Mailing address
1430 TULANE AVE # SL16, NEW ORLEANS, LA 70112-2632
(504) 988-7518
(504) 988-8252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
305115
LA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
305115
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71-1004783
TAX ID
LA
Enumeration date
09/22/2006
Last updated
02/07/2019
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