Organization
MEDIFEM HEALTH, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D GLAZER M.D. (PRESIDENT)
(502) 587-6041
Entity
Organization
Contact information
Practice address
250 E LIBERTY ST, 310, LOUISVILLE, KY 40202-1530
(502) 587-6041
(502) 589-0643
Mailing address
250 E LIBERTY ST, 310, LOUISVILLE, KY 40202-1530
(502) 587-6041
(502) 589-0643
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
25111
KY
363LW0102X
Women's Health Nurse Practitioner
2457P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65919474
—
KY
Enumeration date
07/27/2006
Last updated
04/01/2008
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