Individual
SETH NATHANIEL GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39TH & MARKET ST, PHILADELPHIA, PA 19104
(215) 662-7293
(215) 662-9871
Mailing address
39TH & MARKET ST, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD018264E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009481100010
—
PA
Enumeration date
06/22/2006
Last updated
02/15/2011
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