| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Jerry Gluckman | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| ID Number | C1-0002836 | [sources] | |||
| NPI | 1629070370 | [sources] | |||
| Sector | 207P00000X · 207P00000X, 207Q00000X, 207QG0300X, 207R00000X, 207RC0000X, 207RG100X, 207RI0200X, 207P1001X, 207RX0202X, 207U00000X, 208000000X, 207M0000X, 363L00000X, 363LF0000X | [sources] | |||
| Position | MD | [sources] | |||
| Last change | Last processed | First seen | |||
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
us-medde-d9dfdd89f6e2375e29d6d57076921f1292b6c051 · us-medde-6c942519ad1e035ec78a1023e14c605e5216686dFor experts: raw data explorer
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| United States | DE BRD of Medical Licensure and Discipline | - |