Provider Demographics
NPI:1952570699
Name:GLASGOLD GROUP
Entity Type:Organization
Organization Name:GLASGOLD GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GLASGOLD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-846-6540
Mailing Address - Street 1:31 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-1731
Mailing Address - Country:US
Mailing Address - Phone:732-846-6540
Mailing Address - Fax:732-846-8231
Practice Address - Street 1:31 RIVER RD
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-1731
Practice Address - Country:US
Practice Address - Phone:732-846-6540
Practice Address - Fax:732-846-8231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty