Individual
SETH W. GLICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
200300983
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89135GW
—
NC
Enumeration date
06/23/2006
Last updated
05/21/2013
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