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Contact Information

JEFFREY D GLAZER, MD
2215 PORTLAND AVE
LOUISVILLE, KY40212-1033
 Phone: 812-218-8926
 Fax: 812-218-8930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for JEFFREY D GLAZER · (Male)

NPI # 1467415778
Status Active
Credentials MD
Entity Individual
Enumeration date 04/08/2006
Last updated 04/14/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 25111
  • KY Medicaid 64251119
  • KY Other K205684 MEDICARE PTAN - PHOENIX
  • KY Other K205683 MEDICARE PTAN - IROQUOIS
  • KY Other K205681 MEDICARE PTAN - PORTLAND
  • KY Other K205685 MEDICARE PTAN - SOUTHWEST
  • KY Other K205682 MEDICARE PTAN- EAST BROADWAY
  • KY Other K205686 MEDICARE PTAN- FAIRDALE
  • KY Other K205680 MEDICARE PTAN-AMERICANA
Hospital affiliation(s) Not Available
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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