Provider Demographics
NPI:1437493491
Name:GLASGO, BLAIR S (MD)
Entity Type:Individual
Prefix:DR
First Name:BLAIR
Middle Name:S
Last Name:GLASGO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:WRNMMC 8901 WISCONSIN AVE
Mailing Address - Street 2:BLDG 10, ROOM 5054
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-5600
Mailing Address - Country:US
Mailing Address - Phone:301-400-2839
Mailing Address - Fax:301-295-4729
Practice Address - Street 1:WRNMMC 8901 WISCONSIN AVE
Practice Address - Street 2:BLDG 10, ROOM 5054
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5600
Practice Address - Country:US
Practice Address - Phone:301-400-2839
Practice Address - Fax:301-295-4729
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2015-07-01
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Provider Licenses
StateLicense IDTaxonomies
IN01074157A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine