Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 41312 | KY |
N | 207U00000X | Nuclear Medicine Specialist | G56826 | CA |
NPI | 1689671828 |
---|---|
Provider Name | Dr. Anne Miriam Glaser |
First Address | Beverly Hills, CA 90211-1638 |
Second Address | Beverly Hills, CA 90211-1638 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 02/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7100044020 | (05) | KY |
CB288879 | MEDICARE (01) | CA |
F28620 | (02) | |
P00623749 | MEDICARE RR (01) |