Individual provider · NPI-1
Earl J Glusac, MD
Pathology, Anatomic Pathology & Clinical Pathology · New Haven, CT
NPI number1063493377
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1063493377
- Entity type
- Individual (NPI-1)
- Name
- Earl J Glusac
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 14, 2005
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 033679 | CT | Yes |
| 207ZD0900X | Pathology, Dermatopathology | 033679 | CT |
Practice location
800 Howard AveYale Physicians Building
New Haven, CT 06519-1369
Phone 203-785-2140 · Fax 203-785-6414
Mailing address
Po Box 9805300 George St 6th Floor
New Haven, CT 06536-0805
Phone 203-785-7998 · Fax 203-785-6414
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