Individual
HUGH M. GLOSTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
3130 HIGHLAND AVE, CINCINNATI, OH 45219-2399
(513) 584-3686
(513) 475-7636
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5505
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
35.067219
OH
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
35.067219
OH
207ND0101X
MOHS-Micrographic Surgery Physician
ME133595
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070007630
MEDICARE/RR/PIN
OH
05
—
0976663
—
OH
05
—
64955925
—
KY
Enumeration date
05/20/2006
Last updated
07/11/2023
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