Organization
ERIC D. GLASOFER MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC D GLASOFER M.D. (OWNER)
(856) 772-1200
Entity
Organization
Contact information
Practice address
1000 WHITE HORSE RD STE 904, VOORHEES, NJ 08043-4415
(856) 772-1200
(856) 772-9674
Mailing address
1000 WHITE HORSE RD STE 904, VOORHEES, NJ 08043-4415
(856) 772-1200
(856) 772-9674
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA04097700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084715
MEDICARE IDENTIFICATION NUMBER
NJ
Enumeration date
01/28/2009
Last updated
02/03/2009
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