Individual
STEPHEN ERNEST GLINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST APC-10, PROVIDENCE, RI 02903-4923
(401) 444-7959
(401) 444-7144
Mailing address
15 LA SALLE SQ, PROVIDENCE, RI 02903-1814
(401) 444-6779
(401) 444-6912
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD05263
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255337671
—
RI
Enumeration date
06/21/2005
Last updated
12/18/2025
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