Individual
NINA ELIZABETH GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
185 S ORANGE AVE, MSB G526, NEWARK, NJ 07103-2757
(973) 972-6293
(973) 972-6803
Mailing address
90 BERGEN ST STE 7100, NEWARK, NJ 07103-2425
(973) 972-2400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA09883500
NJ
2086S0102X
Surgical Critical Care Physician
Primary
25MA09883500
NJ
2086S0127X
Trauma Surgery Physician
25MA09883500
NJ
Other
Enumeration date
04/14/2009
Last updated
09/13/2016
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