Individual
MR. JASON DOUGLAS GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
450 BROOKLINE AVE, SW460, BOSTON, MA 02215-5418
(617) 632-2462
(617) 632-4448
Mailing address
450 BROOKLINE AVE, SW460, BOSTON, MA 02215-5418
(617) 632-2462
(617) 632-4448
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
273839
MA
Other
Enumeration date
09/24/2008
Last updated
09/28/2011
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