Organization
DR. LEONARD C. GLASER, M.D.P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD CHARLES GLASER M.D. (PHYSICIAN/MD)
(860) 621-8361
Entity
Organization
Contact information
Practice address
360 N MAIN ST, SUITE 3, SOUTHINGTON, CT 06489-2503
(860) 621-8361
(860) 621-6275
Mailing address
360 N MAIN ST, SUITE 3, SOUTHINGTON, CT 06489-2503
(860) 621-8361
(860) 621-6275
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1220037
—
CT
Enumeration date
03/26/2010
Last updated
03/26/2010
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