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NPI Code Detail

MEDICARE: RONALD S GLICK MD

MEDICARE: RONALD S GLICK 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
1207X00000XOrthopaedic Surgery Physician32371NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588623169
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD S GLICK MD
Provider Business Mailing Address
First Line : 4065 QUAKERBRIDGE RD
Second Line :
City : PRINCETON JUNCTION
State : NJ
Zip : 08550-5243
Country : US
Telephone Number : 609-394-3804
Fax Number : 609-989-1550
Provider Business Practice Location Address
First Line : 4065 QUAKERBRIDGE RD
Second Line :
City : PRINCETON JUNCTION
State : NJ
Zip : 08550-5243
Country : US
Telephone Number : 609-394-3804
Fax Number : 609-989-1550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2006
Last Update Date : 04/11/2008

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