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
Phone: (856) 454-8985
Fax: (856) 250-1031
Website:
Health care specialties
| Specialty | Code | License # | 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 6 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 | 1518940394 | NPPES |
| New Jersey | MEDICAID | 0085545 |
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