Individual
JOHN R GLASSBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 MEDICAL CENTER DR, SUITE 100, SEWELL, NJ 08080-2358
(856) 582-3008
(856) 582-3009
Mailing address
900 MEDICAL CENTER DR, SUITE 100, SEWELL, NJ 08080-2358
(856) 582-3008
(856) 582-3009
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
25MA03345200
NJ
2085R0203X
Therapeutic Radiology Physician
MD009725E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007534600002
—
PA
Enumeration date
07/07/2006
Last updated
01/06/2015
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