Provider Demographics
NPI:1013174689
Name:GLASSNER, PHILIP JUSTIN (MD)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:JUSTIN
Last Name:GLASSNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6 SAND HILL RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4946
Mailing Address - Country:US
Mailing Address - Phone:908-782-0600
Mailing Address - Fax:908-782-7575
Practice Address - Street 1:6 SAND HILL RD
Practice Address - Street 2:SUITE 102
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4946
Practice Address - Country:US
Practice Address - Phone:908-782-0600
Practice Address - Fax:908-782-7575
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2011-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08653700207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery