Individual
DR. PAUL R. GLASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4113 OLEANDER DR, SUITE G, WILMINGTON, NC 28403-6821
(910) 791-1300
(910) 791-4125
Mailing address
4113 OLEANDER DR, SUITE G, WILMINGTON, NC 28403-6821
(910) 791-1300
(910) 791-4125
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
116
NC
213E00000X
Podiatrist
2480
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0802R
BLUECROSS/BLUESHIELD
NC
01
—
1079890001
PALMETTO DURABLE GOODS
NC
01
—
1659398
OXFORD HEALTH UHC
NC
01
—
23656
MEDCOST
NC
01
—
2728879
UNITED HEALTHCARE
NC
05
—
890802R
—
NC
01
—
P02480-31
NY WORKERS COMP
NY
Enumeration date
05/16/2006
Last updated
02/06/2008
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