Individual
MARK STUART GLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4372
(910) 321-6232
Mailing address
524 BEAUMONT RD, FAYETTEVILLE, NC 28304-4443
(910) 615-4372
(910) 321-6232
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22727
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194636
MEDCOST, DOCTORS DIRECT
NC
01
—
35746
BCBS OF NC
NC
05
—
8935746
—
NC
01
—
P00389963
RAILROAD MEDICARE
NC
Enumeration date
07/11/2006
Last updated
11/20/2015
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