Provider Demographics
NPI:1669469649
Name:GLATSTEIN, ISAAC (MD, MSC)
Entity Type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
Last Name:GLATSTEIN
Suffix:
Gender:M
Credentials:MD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1599 STATE ROUTE 34 STE 4
Mailing Address - Street 2:
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07727-2000
Mailing Address - Country:US
Mailing Address - Phone:732-807-1613
Mailing Address - Fax:732-997-7613
Practice Address - Street 1:1599 STATE ROUTE 34 STE 4
Practice Address - Street 2:
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07727-2000
Practice Address - Country:US
Practice Address - Phone:732-807-1613
Practice Address - Fax:732-997-7613
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-04
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10492800207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ766283Medicaid
NJ766283Medicaid
MAJ13170OtherBLUE CROSS/BLUE SHIELD
MA131209OtherHARVARD PILGRIM