person
Dr. Jeffrey D Glazer, MD
Gynecology Physician in Louisville, Kentucky
NPI 1467415778

Jeffrey D Glazer is a Gynecology Physician based in Louisville, KY and is specialized in Gynecology. Jeffrey D Glazer practices in Louisville, KY and has the professional credentials of MD. The NPI Number for Jeffrey D Glazer is 1467415778 and holds a License No. 25111 (Kentucky).

The current practice location address for Jeffrey D Glazer is 2215 Portland Ave, Louisville, KY and can be reached out via phone at 812-218-8926 and via fax at 812-218-8930.

Location: 2215 Portland Ave, Louisville, KY, 40295-0244
person
Provider Profile Details
NPI Number
1467415778
Provider Name
Jeffrey D Glazer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2215 Portland Ave, Louisville, KY, 40295-0244
Phone Number
812-218-8926
Fax Number
812-218-8930
Provider Enumeration Date
04/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64251119 05 KY
K205680 01 KY MEDICARE PTAN-AMERICANA
K205685 01 KY MEDICARE PTAN - SOUTHWEST
K205681 01 KY MEDICARE PTAN - PORTLAND
K205682 01 KY MEDICARE PTAN- EAST BROADWAY
K205686 01 KY MEDICARE PTAN- FAIRDALE
K205683 01 KY MEDICARE PTAN - IROQUOIS
K205684 01 KY MEDICARE PTAN - PHOENIX
institution
Provider Business Practice Location Address Details
Address
2215 Portland Ave
City
State
Zip
40212-1033
Phone Number
812-218-8926
Fax Number
812-218-8930
person
Provider Business Mailing Address Details
Address
2215 Portland Ave
City
State
Zip
40212-1033
Phone Number
812-218-8926
Fax Number
812-218-8930
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
25111 (Kentucky)
Definition
Definition to come...
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