Individual
BRUCE DAVID GLASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4660 KENMORE AVE, SUITE 500, ALEXANDRIA, VA 22304-1313
(703) 370-0073
(703) 370-2002
Mailing address
4660 KENMORE AVE, SUITE 500, ALEXANDRIA, VA 22304-1313
(703) 370-0073
(703) 370-2002
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101051255
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900786
—
VA
Enumeration date
02/01/2006
Last updated
03/14/2011
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