| NPI | 1568336568 |
|---|---|
| Doing Business As | GLENSIDE PRIMARY CARE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | GLENN BRIAN MIZRACH Owner 804-262-4763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2025-10-02 |
| Last Update Date | 2026-01-14 |