Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 25MA09547300 | NJ |
NPI | 1033420955 |
---|---|
Provider Name | Dr. Marina Glatman |
First Address | Neptune, NJ 07753-4801 |
Second Address | Neptune, NJ 07753-4801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2010 |
Last Update Date | 18/12/2014 |