Individual
DR. GLENN W. LAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 STOUT RD, PRINCETON, NJ 08540
(609) 712-7972
(609) 543-2453
Mailing address
2 STOUT RD, PRINCETON, NJ 08540-7441
(609) 712-7972
(609) 543-2453
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
25MA05182700
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD070314L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0584908
—
NJ
01
—
1000338800
AMERICHOICE
NJ
01
—
1130387
HORIZON NJ HEALTH
NJ
01
—
1K6468
HEALTHNET/PHS
NJ
01
—
2026938
UNITED HEALTHCARE
NJ
01
—
2337125
AETNA
NJ
01
—
29208
UNIVERSITY HEALTH PLAN
NJ
01
—
418181000
AMERIHEALTH
NJ
01
—
595777PDM
INDEPENDENT BCBS
NJ
01
—
780001881
RR MEDICARE
—
01
—
83490
AMERIGROUP
NJ
01
—
P390840
OXFORD
NJ
Enumeration date
05/10/2006
Last updated
12/02/2019
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