Glass, James

Glass, James is an individual health care provider with primary practice located at 103 Old Marlton Pike Ste 111 , Medford NJ 08055-8772. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Glass, James can be contacted via phone (609) 953-7111.

Contact Information

Primary practice address
103 Old Marlton Pike Ste 111 Medford NJ 08055-8772
Fax: (609) 953-1544
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA08028000 New Jersey

Profile Details

NPI number 1790841666
LBN Legal business name Glass, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Oct 16th, 2020 - about 4 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 1790841666 NPPES
New Jersey MEDICAID 0134490

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