Provider Demographics
NPI:1215971767
Name:GLASSBAND, HERMAN (PD)
Entity type:Individual
Prefix:MR
First Name:HERMAN
Middle Name:
Last Name:GLASSBAND
Suffix:
Gender:M
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2203 SHEFFLIN CT
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-1025
Mailing Address - Country:US
Mailing Address - Phone:410-653-9650
Mailing Address - Fax:
Practice Address - Street 1:2203 SHEFFLIN CT
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-1025
Practice Address - Country:US
Practice Address - Phone:410-653-9650
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD5813183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist