# DR. RICHARD SAUL GLICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1104989482
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VG0400X | Gynecology Physician | OS002648L | PA | — |
| 208D00000X | General Practice Physician | OS002648L | PA | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 08/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000090349 | HIGHMARK BLUE SHIELD ID | PA |
| 01 | — | 0045371000 | HMO ID | PA |