Doctor Name: | YOSEF PESACH GLASSMAN |
NPI Number: | 1265417778 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | D0054658 |
Business Practice Address: | One Hospital Road Oak Bluffs, MA - 025571477 |
Business Phone Number: | 5086930410 |
Business Fax Number: | 5086960437 |
Mailing Address: | Po Box 1477, OAK BLUFFS |
State: | MA |
Postal Code: | 025571477 |
Phone Number: | 5086930410 |
Fax Number: | 5086960437 |
NPI Enumeration Date: | 12/08/2005 |
NPI Last Update Date: | 10/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0054658 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |