Individual provider · Type 1 NPI

Eric Daniel Glass Jr., PA-C

Medical Physician Assistant · Wilkes Barre, PA

NPI number 1083547749 Active

Practice location

575 N River St
Wilkes Barre, PA 18764-0999

Call (570) 829-8111 Map

Mailing address

6 George St Fl 2
Pittston, PA 18640-1904

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XOA007881 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1083547749

Eric Daniel Glass Jr., PA-C's National Provider Identifier is 1083547749, issued on Jun 4, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wilkes Barre, PA. The record was last updated on Sep 4, 2026.