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Individual

DR. JENNIFER A GLASSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
126 5TH AVE FL 2, NEW YORK, NY 10011-5631
(904) 923-2472
Mailing address
126 5TH AVE FL 2, NEW YORK, NY 10011-5631
(646) 880-4465

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
302011
NY
207Q00000X
Family Medicine Physician
ME91516
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000401200
FL
Enumeration date
04/10/2006
Last updated
01/09/2023
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