Provider Demographics
NPI:1164511002
Name:GLASER, CAROL A (DVM, MPVM, MD)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:A
Last Name:GLASER
Suffix:
Gender:F
Credentials:DVM, MPVM, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:500 PARNASSUS AVE # 0136
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2203
Mailing Address - Country:US
Mailing Address - Phone:415-476-0301
Mailing Address - Fax:415-476-1343
Practice Address - Street 1:500 PARNASSUS AVE # 0136
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2203
Practice Address - Country:US
Practice Address - Phone:415-476-0301
Practice Address - Fax:415-476-1343
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA483092080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases