Individual
DR. SIDNEY GLASOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
571 CENTRAL AVE STE 115, ASSOCIATES INCARDIOVASCULAR DISEASE, LLC, NEW PROVIDENCE, NJ 07974-1547
(908) 464-4200
(908) 464-1332
Mailing address
PO BOX 416457, PRACTICE ASSOCIATES MEDICAL GROUP, BOSTON, MA 02241-6457
(973) 656-6280
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
239426
NY
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08526500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0267813
—
NJ
Enumeration date
05/20/2008
Last updated
05/09/2013
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