Individual
JONATHAN MICHAEL GLOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
780 RT 37 WEST, SUITE 200, TOMS RIVER, NJ 08755-1856
(732) 797-1855
(732) 797-1856
Mailing address
780 RT. 37 WEST, SUITE 200, TOMS RIVER, NJ 08755-1856
(732) 797-1855
(732) 797-1856
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25 MA08818800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
190089SDI
MEDICARE IDENTIFIER
NJ
Enumeration date
06/27/2008
Last updated
05/12/2015
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