Individual
GLENN MEREWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1436
(215) 612-4000
(215) 807-8235
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 807-8235
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA04322900
NJ
207P00000X
Emergency Medicine Physician
MD021953E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009543230003
—
PA
05
—
0009543230004
—
PA
05
—
0009543230010
—
PA
01
—
0054318000
KEYSTONE IBC
PA
01
—
00954323-02
AMERICHOICE TORRESDALE
PA
01
—
00954323-03
AMERICHOICE BUCKS
PA
01
—
00954323-04
AMERICHOICE FRANKFORD
PA
01
—
0404821000
AMERIHEALTH
NJ
01
—
07645
HEALTH PARTNERS
PA
01
—
1437686
PERSONAL CHOICE
PA
01
—
20045153
AMERIHEALTH MERCY
PA
01
—
30021588
KEYSTONE MERCY
PA
01
—
30048919
KEYSTONE MERCY
NJ
01
—
452729
AETNA CONTRACT
PA
05
—
5142504
—
NJ
01
—
60018877
HORIZON NJ HEALTH
NJ
01
—
7970674
CIGNA
PA
Enumeration date
07/11/2006
Last updated
11/28/2009
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