Glass, Gina G

Glass, Gina G is an individual health care provider with primary practice located at 2 Cooper St Ste 101 , Camden NJ 08102-2348. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Glass, Gina G can be contacted via phone (856) 454-8985.

Contact Information

Primary practice address
2 Cooper St Ste 101 Camden NJ 08102-2348
Fax: (856) 250-1031
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MA078790 New Jersey

Profile Details

NPI number 1518940394
LBN Legal business name Glass, Gina G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Feb 28th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518940394 NPPES
New Jersey MEDICAID 0085545

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