Healthcare Provider Details

I. General information

NPI: 1871233999
Provider Name (Legal Business Name): STEPHEN ERIC GLOMBICKI MD, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2022
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 SOUTH ST STE 230A
MORRISTOWN NJ
07960-6422
US

IV. Provider business mailing address

435 SOUTH ST STE 230A
MORRISTOWN NJ
07960-6422
US

V. Phone/Fax

Practice location:
  • Phone: 862-246-5558
  • Fax:
Mailing address:
  • Phone: 862-246-5558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD488067
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: