Individual ProviderGlenn BirnbaumEmergency MedicineAllopathic & Osteopathic PhysiciansPractice AddressMorristown Memorial Hospital (Emergency Department), 100 Madison Avenue, Morristown, NJ 07960(973) 971-5000(973) 740-0607PECOS EnrollmentBased on the most recent information from CMS, provider Glenn Birnbaum is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1679517395Provider TypeIndividualFull NameBirnbaum, GlennCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/15/2006Last Updated4/14/2008Contact InformationPractice LocationPractice AddressMorristown Memorial Hospital (Emergency Department), 100 Madison Avenue, Morristown, NJ 07960Phone(973) 971-5000FaxUnlisted FaxMailing LocationMailing AddressPO Box 717, Livingston, NJ 07039-0717Phone(973) 740-0607FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense25MA05021900New Jersey