Haber, Glenn Robert

Haber, Glenn Robert is an sole proprietor health care provider with primary practice located at 140 Grand Ave , Englewood NJ 07631-6581. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Haber, Glenn Robert can be contacted via phone (201) 569-0212.

Contact Information

Primary practice address
140 Grand Ave Englewood NJ 07631-6581
Phone: (201) 569-0212
Fax: (201) 569-7703
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X MD01362 New Jersey

Profile Details

NPI number 1932117355
LBN Legal business name Haber, Glenn Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Apr 23rd, 2008 - about 18 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 1932117355 NPPES
New Jersey MEDICAID 1012002

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