Individual
JEROME E GLOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
816 MIDDLE ST, PITTSBURGH, PA 15212-4915
(412) 321-4001
(412) 321-4063
Mailing address
816 MIDDLE ST, PITTSBURGH, PA 15212-4915
(412) 321-4001
(412) 321-4063
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD057254L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015481130001
—
PA
Enumeration date
03/23/2006
Last updated
11/17/2011
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