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NPI Code Detail

MEDICARE: MICHAEL GLICKMAN MD

MEDICARE: MICHAEL GLICKMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0116025888VA
2207Q00000XFamily Medicine PhysicianD0088802MD
3207Q00000XFamily Medicine PhysicianMD044148DC

General Provider Information

NPI Number : 1033559695
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL GLICKMAN MD
Provider Business Mailing Address
First Line : 1050 CONNECTICUT AVE NW STE 500
Second Line :
City : WASHINGTON
State : DC
Zip : 20036-5304
Country : US
Telephone Number : 202-596-8891
Fax Number :
Provider Business Practice Location Address
First Line : 1050 CONNECTICUT AVE NW STE 500
Second Line :
City : WASHINGTON
State : DC
Zip : 20036-5304
Country : US
Telephone Number : 202-596-8891
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2013
Last Update Date : 09/09/2024

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Directions to “ MICHAEL GLICKMAN MD” Practice Location

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