Individual
JACOB GLAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8114 SANDPIPER CIR, SUITE 206, BALTIMORE, MD 21236-4934
(410) 933-4923
(410) 933-8659
Mailing address
8114 SANDPIPER CIR, SUITE 206, BALTIMORE, MD 21236-4934
(410) 933-4923
(410) 933-8659
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R204261
MD
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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