Individual
PETER M GLAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 YORK ST, HUNTER BUILDIGN, NEW HAVEN, CT 06510-3221
(203) 688-1861
(203) 688-1863
Mailing address
300 GEORGE ST, 6TH FLOOR PO BOX 9805, NEW HAVEN, CT 06511-6624
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
031507
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001315078
—
CT
Enumeration date
10/14/2005
Last updated
07/03/2008
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