| NPI | 1487628673 |
|---|---|
| Other Name | GLENN & DOMENICK, MD, PA |
| Entity Type | Organization |
| Authorized Contact | BRANDT J FEUERSTEIN President 302-735-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: DE C1-0003052) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2013-12-13 |