Provider Demographics
NPI:1053826420
Name:GLAUSER, TERRY ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:ANN
Last Name:GLAUSER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 CARLISLE CT
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2759
Mailing Address - Country:US
Mailing Address - Phone:610-986-4356
Mailing Address - Fax:
Practice Address - Street 1:324 CARLISLE CT
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2759
Practice Address - Country:US
Practice Address - Phone:610-986-4356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-07
Last Update Date:2017-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028704E207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMD-028704-EOtherMEDICAL LICENSE NUMBER
PAMD028704EOtherMEDICAL LICENSE