Provider Demographics
NPI:1851398887
Name:GLASER, ARTHUR LEWIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:LEWIS
Last Name:GLASER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 17TH ST
Mailing Address - Street 2:SUITE L
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32960-5670
Mailing Address - Country:US
Mailing Address - Phone:772-770-2344
Mailing Address - Fax:772-770-2485
Practice Address - Street 1:333 17TH ST
Practice Address - Street 2:SUITE L
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960-5670
Practice Address - Country:US
Practice Address - Phone:772-770-2344
Practice Address - Fax:772-770-2485
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-06
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL35803207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL035392200Medicaid
FL26032OtherBCBS
FL035392200Medicaid