Individual
MR. BRIAN SCOTT GLASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 GENERAL ST, LAWRENCE, MA 01841-2961
(978) 683-4000
Mailing address
50 ELM ST, ANDOVER, MA 01810-3653
(617) 877-4690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AP2508
MA
Other
Enumeration date
10/31/2007
Last updated
12/09/2014
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