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Individual

DR. JEFFREY JAMES GLASER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2200 RANDOLPH RD, CHARLOTTE, NC 28207-1587
(704) 376-3947
(704) 376-9487
Mailing address
7910 QUAIL HILL RD, CHARLOTTE, NC 28210-7229
(704) 556-3515

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
450
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
017JT
BLUECROSS BLUESHIELD
NC
01
1100009
CIGNA HEALTHCARE
NC
01
185581
MEDCOST
NC
01
2743512
UNITED HEALTHCARE
NC
05
5902373
NC
Enumeration date
04/24/2006
Last updated
07/08/2007
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