Glassman, Bruce David

Glassman, Bruce David is an individual health care provider with primary practice located at 4660 Kenmore Ave Suite 500, Alexandria VA 22304-1313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Glassman, Bruce David can be contacted via phone (703) 370-0073.

Contact Information

Primary practice address
4660 Kenmore Ave Suite 500 Alexandria VA 22304-1313
Phone: (703) 370-0073
Fax: (703) 370-2002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 0101051255 Virginia

Profile Details

NPI number 1730151119
LBN Legal business name Glassman, Bruce David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Mar 14th, 2011 - about 15 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 1730151119 NPPES
Virginia MEDICAID 5900786

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