Healthcare Provider Details

I. General information

NPI: 1982223921
Provider Name (Legal Business Name): CHRISTIAN BARRETT GLUCK MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2020
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY DR
HERSHEY PA
17033-2360
US

IV. Provider business mailing address

500 UNIVERSITY DR RM C4833
HERSHEY PA
17033-2360
US

V. Phone/Fax

Practice location:
  • Phone: 717-531-6822
  • Fax:
Mailing address:
  • Phone: 717-531-8945
  • Fax: 717-531-6160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberMD490151
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: