Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT003110L | PA |
Y | 2251E1300X | Electrophysiology, Clinical | PT003110L | PA |
NPI | 1851330799 |
---|---|
Provider Name | Dr. Thomas E Glumac |
First Address | Dillsburg, PA 17019-9441 |
Second Address | Dillsburg, PA 17019-9441 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 18/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
492381 | UPIN (01) | PA |