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Individual
CRAIG STEVEN GLICK
Active
Individual
CRAIG STEVEN GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
25MA05779700
NJ
2085R0202X
Diagnostic Radiology Physician
25MA05779700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300081001
RAILROAD MEDICARE
NJ
05
—
5335108
—
NJ
01
—
P00758300
RAILROAD MEDICARE
NJ
01
—
P00847775
RAILROAD MEDICARE
NJ
Enumeration date
08/15/2006
Last updated
11/22/2011
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