Basic Information
Provider Information
NPI: 1427221753
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GELMAN GLAZIER
FirstName: JULIA
MiddleName: S
NamePrefix: MS.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1941 LIMESTONE RD
Address2: SUITE 101
City: WILMINGTON
State: DE
PostalCode: 198085408
CountryCode: US
TelephoneNumber: 3026333555
FaxNumber: 3026333350
Practice Location
Address1: 1096 OLD CHURCHMANS RD
Address2:  
City: NEWARK
State: DE
PostalCode: 197132102
CountryCode: US
TelephoneNumber: 3026559494
FaxNumber: 3023514898
Other Information
ProviderEnumerationDate: 04/08/2008
LastUpdateDate: 04/08/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XLT-0032685DEY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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