Individual
DR. CHARLOTTE GLICKSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-9193
(410) 601-8977
Mailing address
2401 W BELVEDERE AVE, ATTN: CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D47128
MD
2080P0202X
Pediatric Cardiology Physician
D47128
MD
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
D47128
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370007799
R/R MEDICARE PROVIDER #
MD
05
—
784400000
—
MD
Enumeration date
05/10/2006
Last updated
11/28/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us