Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Eric Daniel Glass Jr., PA-C

Individual provider Medical Physician Assistant · NPI 1083547749

Eric Daniel Glass Jr., PA-C is a Medical Physician Assistant in Wilkes Barre, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2026.

Licensed in
PA
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

575 N River St
Wilkes Barre, PA 18764-0999
Phone: (570) 829-8111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence OA007881 (PA)

Record details

NPI number1083547749
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 4, 2026
Last updated in NPPESSeptember 4, 2026
Certification dateSeptember 4, 2026

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