Individual
JOHN H GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, 15 PENN TOWER, PHILADELPHIA, PA 19104
(215) 662-3914
Mailing address
3400 SPRUCE STREET, 15 PENN TOWER, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD015797E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006618870001
—
PA
Enumeration date
06/14/2006
Last updated
02/15/2011
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