Individual
DANIEL GLASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
333 CEDAR ST, YNHH - DEPARTMENT OF PEDIATRICS, NEW HAVEN, CT 06510-3206
(203) 688-1947
Mailing address
PO BOX 208064, NEW HAVEN, CT 06520-8064
(203) 246-0679
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD465877
PA
2080P0216X
Pediatric Rheumatology Physician
Primary
68777
CT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/11/2015
Last updated
07/02/2021
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