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NPI Code Detail

MEDICARE: JOSEPH A GLICK M.D.

MEDICARE: JOSEPH A GLICK M.D.
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 PhysicianC1-0000033DE

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 : 1770646655
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH A GLICK M.D.
Provider Business Mailing Address
First Line : 2713 LANCASTER AVE
Second Line :
City : WILMINGTON
State : DE
Zip : 19805-5220
Country : US
Telephone Number : 302-656-2348
Fax Number :
Provider Business Practice Location Address
First Line : 2713 LANCASTER AVE
Second Line :
City : WILMINGTON
State : DE
Zip : 19805-5220
Country : US
Telephone Number : 302-656-2348
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2006
Last Update Date : 07/09/2007

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Directions to “ JOSEPH A GLICK M.D.” Practice Location

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