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Individual

PAUL GLIEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 10TH AVE, NEW YORK, NY 10019
(212) 523-7165
(212) 523-8189
Mailing address
PO BOX 54677, LOS ANGELES, CA 90054-0677
(800) 331-9294
(812) 471-9282

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
158603
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01018982
NY
Enumeration date
12/06/2005
Last updated
07/07/2016
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