Provider Demographics
NPI:1205163706
Name:GLASER-SCHANZER, FELICE NAOMI (MD)
Entity type:Individual
Prefix:DR
First Name:FELICE
Middle Name:NAOMI
Last Name:GLASER-SCHANZER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 PERRY RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-2967
Mailing Address - Country:US
Mailing Address - Phone:732-690-5793
Mailing Address - Fax:
Practice Address - Street 1:25 PERRY RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2967
Practice Address - Country:US
Practice Address - Phone:732-690-5793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06438900208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics