| Mr Glen Lawrence Tobias, RD | |
|
111 Madison Ave, Morristown, NJ 07960-6097 | |
| (973) 971-6898 | |
| (973) 290-7668 |
| Full Name | Mr Glen Lawrence Tobias |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 111 Madison Ave, Morristown, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164790044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 816401 (Connecticut) | Secondary |
| 133V00000X | Dietitian, Registered | 816401 (New Jersey) | Primary |
| Provider Name | Practice Associates Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Glen Lawrence Tobias, RD 465 South St Ste 103, Morristown, NJ 07960-6442 Ph: (973) 971-6898 | Mr Glen Lawrence Tobias, RD 111 Madison Ave, Morristown, NJ 07960-6097 Ph: (973) 971-6898 |
Kelly Varzea, RD Dietitian Medicare: Medicare Enrolled Practice Location: 55 Madison Ave Fl 2, Morristown, NJ 07960 Phone: 973-971-5676 Fax: 973-290-7365 | |
Megan Phelan, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 27 James St, Morristown, NJ 07960 Phone: 908-472-9418 | |
Edwina L Rich, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10 E Lake Blvd, Morristown, NJ 07960 Phone: 201-247-8280 | |
Ms. Diane Z. Duelfer, MS, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Madison Ave # 82, Morristown, NJ 07960 Phone: 973-971-4026 Fax: 973-290-7365 | |
Maria Rose Carter, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 435 South St, Morristown, NJ 07960 Phone: 570-814-7447 | |
Mrs. Susan Tani Anthony, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6 Mount Pleasant Rd, Morristown, NJ 07960 Phone: 973-359-8581 Fax: 973-359-8581 | |
Carley Jane Horan, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 125 South St, Morristown, NJ 07960 Phone: 973-464-2864 |