Provider Demographics
NPI:1992742688
Name:GLEYZER, VLADIMIR M (MD)
Entity type:Individual
Prefix:
First Name:VLADIMIR
Middle Name:M
Last Name:GLEYZER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HERITAGE LN
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:MA
Mailing Address - Zip Code:01906-3188
Mailing Address - Country:US
Mailing Address - Phone:978-664-4698
Mailing Address - Fax:
Practice Address - Street 1:21 MAIN STREET
Practice Address - Street 2:NORTH READING PEDIATRICS
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864
Practice Address - Country:US
Practice Address - Phone:978-664-4698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA159410208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics