Individual
DR. DONALD DAVID GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, DEPT OF ANESTHESIOLOGY, LEBANON, NH 03756-1000
(603) 650-5922
Mailing address
1 MEDICAL CENTER DR, DEPT OF ANESTHESIOLOGY, LEBANON, NH 03756-1000
(603) 650-5922
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5758
NH
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
5758
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000077
—
NH
05
—
0004221
—
VT
Enumeration date
06/26/2006
Last updated
07/28/2011
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