Provider Demographics
NPI:1962494823
Name:GLASER, BARRY LOUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:LOUIS
Last Name:GLASER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1521 AMITY RD
Mailing Address - Street 2:
Mailing Address - City:RYDAL
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1203
Mailing Address - Country:US
Mailing Address - Phone:215-576-5885
Mailing Address - Fax:215-576-5485
Practice Address - Street 1:1245 HIGHLAND AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3714
Practice Address - Country:US
Practice Address - Phone:215-887-3990
Practice Address - Fax:215-887-1140
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD008405E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery