JERRY PAUL GLUCKMAN


Address: 1403 Foulk Rd Ste 105, Wilmington, DE 19803-4054
Phone: 3024790100

JERRY PAUL GLUCKMAN (NPI# 1629070370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629070370
Entity Type Individual
Full Name JERRY PAUL GLUCKMAN
Credential MD
Practice Address 1403 Foulk Rd Ste 105
Wilmington
DE 19803-4054
Mailing Address 1403 Foulk Rd
Ste 105
Wilmington
DE 19803-2788
Practice Telephone 3024790100
Practice Fax Number 3024790177
Mailing Telephone 3024790100
Mailing Fax Number 3024790177
Enumeration Date 2005-08-12
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine C10002836 DE Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1815 W 13th St, Wilmington, DE 198064054 3026524705 3026522917

Office Location

Street Address 1403 FOULK RD STE 105
City WILMINGTON
State DE
Zip Code 19803-4054

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487851846 Linda Joanne Olivere Nurse Practitioner 1403 Foulk Rd Ste 105, Wilmington, DE 19803-2788 2007-06-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437779683 Minal Aundhia Student in an Organized Health Care Education/Training Program Sidney Kimmel Medical College, 1600 Rockland Road Pediatric Residency Program, Wilmington, DE 19803 2020-04-17
1891324307 Manuel Roque Sanchez Gonzales Jr. Pediatrics Attn: Cindy Chuidian (gme Office), 1600 Rockland Rd, Wilmington, DE 19803 2020-04-06
1477117554 Antanoid John Langeveldt Student in an Organized Health Care Education/Training Program 1600 Rockland Al Dupont Hospital, Wilmington, DE 19803 2019-04-24
1043791817 Ronald Mcdonald House of Delaware Inc. Meals 1901 Rockland Rd, Wilmington, DE 19803 2018-08-28
1316312754 Wellspring Emotional Health, LLC Social Worker 910 Foulk Rd, Suite 200, Wilmington, DE 19803 2015-12-10
1396117040 Stacey Marie Boyer Psychologist 405 Foulk Road, Wilmington, DE 19803 2015-10-21
1518347095 Michelle Marie Clark Allergy & Immunology 1600 Rockland Rd Ste 3d16, Wilmington, DE 19803 2015-06-01
1972922870 Jennifer Lynne Carite Emergency Medicine 1600 Rockland Rd Ste 2b80, Wilmington, DE 19803 2014-04-08
1285938712 Howard Wilk Family Medicine 18 Stone Tower Lane, Wilmington, DE 19803 2010-12-23
1568691905 Kyle Phillips Registered Nurse 410 Foulk Road, Suite 100, Wilmington, DE 19803 2009-07-07
Find all providers in zip 19803

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891357760 Essentials Medical Group De LLC Internal Medicine 3700 Lancaster Pike Ste 301, Wilmington, DE 19805-1511 2019-07-01
1467815191 Jenna Leigh Laughlin Internal Medicine 501 W 14th St., Wilmington, DE 19801 2016-03-31
1578982666 Shannon E. Pan Internal Medicine 3301 Lancaster Pike Ste 9, Wilmington, DE 19805-1436 2014-04-16
1922428044 Katelyn Fritzges Internal Medicine 3506 Kennett Pike Ste 230, Wilmington, DE 19807-3019 2014-04-16
1902241441 Brenden David Connor Internal Medicine 2006 Limestone Rd Ste 7, Wilmington, DE 19808 2013-05-09
1619221744 Monika Partyka-zdunek Internal Medicine 625 Black Gates Rd, Wilmington, DE 19803-2239 2012-10-26
1982963443 Kathryn Sweeney El-amraoui Internal Medicine 4512 Kirkwood Hwy Ste 300, Wilmington, DE 19808-5129 2012-05-03
1558635714 Allison Bronwen Evans Internal Medicine 1203 Barley Mill Rd, Wilmington, DE 19807-2225 2012-03-05
1225301971 Romil Rasik Patel Internal Medicine 2006 Limestone Road, Suite 7, Wilmington, DE 19808 2012-02-10
1982976692 Joseph M Molina Md Professional Corporation-southern California Internal Medicine 445 E. Anaheim Street, #h, Wilmington, CA 90744-4600 2012-01-27
Find all providers in WILMINGTON

Competitor

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City WILMINGTON
Zip Code 19803

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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