Provider Demographics
NPI:1669582219
Name:GLASSMAN, ARNOLD B (DO)
Entity type:Individual
Prefix:
First Name:ARNOLD
Middle Name:B
Last Name:GLASSMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 FOULK RD
Mailing Address - Street 2:STE B
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-3644
Mailing Address - Country:US
Mailing Address - Phone:302-529-8783
Mailing Address - Fax:302-529-1586
Practice Address - Street 1:2006 FOULK RD
Practice Address - Street 2:STE B
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-3644
Practice Address - Country:US
Practice Address - Phone:302-529-8783
Practice Address - Fax:302-529-1586
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC20003476/DE2081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEP3175090OtherOXFORD HEALTH PLAN
DE0000257503OtherDE PHYSICIANS CARE-HMO
DE2008063OtherAETNA-HOM
DE54793OtherCOVENTRY
DE1258600OtherCIGNA
DE293724OtherMAMSI/OPTIMUM CHOICE
DE4297323OtherAETNA-PPO
DE386606954OtherBC/BS
DE510329923OtherTRICARE STANDARD
DE0111303000OtherAMERIHEALTH HMO
DE250007226OtherRAILROAD MEDICARE
DE510329923OtherUNITED HEALTH CARE
DE0000257503Medicaid
DE518992OtherAMERIHEATLH-PPO
DE510329923OtherTRICARE STANDARD
DE293724OtherMAMSI/OPTIMUM CHOICE