Individual
ROBERT M GLASSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4450 BLACK HORSE PIKE, STE 3972, MAYS LANDING, NJ 08330-3107
(609) 677-9729
(609) 652-6270
Mailing address
72 W JIMMIE LEEDS RD, SUITE 1100, GALLOWAY, NJ 08205-9406
(609) 677-9729
(609) 652-7153
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA05926200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300081003
RAILROAD MEDICARE
NJ
05
—
5536405
—
NJ
01
—
P00793703
RAILROAD MEDICARE
NJ
01
—
P00847770
RAILROAD MEDICARE
NJ
Enumeration date
08/15/2006
Last updated
12/11/2018
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