Individual
SARAH NICOLE GLISAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(484) 862-3200
Mailing address
2545 27TH ST SW, ALLENTOWN, PA 18103-7207
(215) 570-0167
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT022564
PA
2084N0400X
Neurology Physician
Primary
OT022564
PA
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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