Provider Demographics
NPI:1912240144
Name:GLOZMAN, LEEANN M (NP)
Entity type:Individual
Prefix:
First Name:LEEANN
Middle Name:M
Last Name:GLOZMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:408 CHRIS GAUPP DR STE 100
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-4492
Mailing Address - Country:US
Mailing Address - Phone:862-314-7030
Mailing Address - Fax:732-647-1199
Practice Address - Street 1:300B PRINCETON HIGHTSTOWN RD STE 202
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-1400
Practice Address - Country:US
Practice Address - Phone:609-680-0759
Practice Address - Fax:732-647-1133
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-06
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY305707363LA2200X
NJ26NJ00425400363LA2200X, 363L00000X
NY340807363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology