Individual
DR. GARY M GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3137 FIRE ROAD, SUITE A, EGG HARBOR TOWNSHIP, NJ 08234
(609) 646-3272
(609) 646-3129
Mailing address
3137 FIRE ROAD, SUITE A, EGG HARBOR TOWNSHIP, NJ 08234
(609) 646-3272
(609) 646-3129
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
MA032178
NJ
2084F0202X
Forensic Psychiatry Physician
MD018944E
PA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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