Individual
DR. STEVEN JEROMEG GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 WHITE HORSE PIKE, CLEMENTON, NJ 08021-4159
(856) 566-9000
(856) 566-9701
Mailing address
93 REMSTERVILLE RD, ELMER, NJ 08318-2940
(856) 358-8419
(856) 358-8419
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA 44289
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2269708
—
PA
Enumeration date
04/23/2007
Last updated
03/07/2023
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