Organization
VASCULAR & TRANSPLANT SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC H GLICKMAN MD (MANAGING DIRECTOR)
(757) 470-5570
Entity
Organization
Contact information
Practice address
397 LITTLE NECK RD, 3300 SOUTH BLDG STE 100, VA BEACH, VA 23452
(757) 470-5570
(757) 227-3377
Mailing address
397 LITTLE NECK RD, 3300 SOUTH BLDG STE 100, VA BEACH, VA 23452
(757) 470-5570
(757) 227-3377
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7902897
NC MEDICAID
—
01
—
CI2484
RAILROAD MEDICARE
VA
Enumeration date
02/01/2006
Last updated
11/13/2007
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