Glassman, Jerrold
Glassman, Jerrold is an sole proprietor health care provider with primary practice located at 4060 Fourth Ave Suite 650, San Diego CA 92103-2116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Glassman, Jerrold can be contacted via phone (619) 819-7222.Contact Information
Primary practice address
4060 Fourth Ave Suite 650
San Diego CA 92103-2116
Phone: (619) 819-7222
Fax: (619) 299-5023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G34309 | California |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | G34309 | California |
Profile Details
| NPI number | 1245326883 |
|---|---|
| LBN Legal business name | Glassman, Jerrold |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Nov 4th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245326883 | NPPES |
| California | Other | 953712511 | TRICARE |
| California | Other | 00G343090 | TRICARE |
| California | MEDICAID | 00G343090 | TRICARE |
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