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Individual

VANESSA GLUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-2976
(301) 946-5100
(301) 929-0348
Mailing address
11510 GEORGIA AVE, SUITE 206, WHEATON, MD 20902-1925
(301) 946-5100
(301) 929-0348

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD034573
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0150
CAREFIRST BCBS
DC
01
104358
ANTHEM BCBS
VA
01
240226
KAISER
DC
01
3439459
AETNA HMO
DC
01
629294
NCPPO
DC
01
7904528
AETNA NON HMO
DC
Enumeration date
07/16/2006
Last updated
07/09/2007
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