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Contact Information

GLEN M ATLAS, MD
150 BERGEN ST
LEVEL E
NEWARK, NJ07103-2496
 Phone: 973-972-5787
 Fax: 973-972-4172
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for GLEN M ATLAS · (Male)

NPI Number 1295895894
Status Active
Credentials MD
Entity Individual
Enumeration date 12/12/2006
Last updated 10/24/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA07119100
  • NJ Medicaid 8377201
Hospital affiliation(s)
  • UMDNJ UNIVERSITY HOSPITAL - (Acute Care)
    150 BERGEN ST
    NEWARK, NJ 07103
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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