Individual
TAYA VALERIE GLOTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 PROSPECT AVE, STE 701, HACKENSACK, NJ 07601-1997
(201) 996-2997
(201) 996-2571
Mailing address
10 E HILL CT, TENAFLY, NJ 07670-2701
(201) 569-8652
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
25MA06231100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02868871
—
NY
01
—
3346858
AETNA HMO
NJ
01
—
3K6524
HEALTHNET
NJ
01
—
7804530
AETNA PPO#
NJ
05
—
8085501
—
NJ
01
—
8213938
GHI PPO
NJ
01
—
P2168582
OXFORD
NJ
Enumeration date
03/03/2006
Last updated
07/10/2008
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