# CRAIG STEVEN GLICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356454540
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | 25MA05779700 | NJ | Yes |
| 2085R0202X | Diagnostic Radiology Physician | 25MA05779700 | NJ | — |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 11/22/2011

## 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 |