Individual
DR. BENJAMIN GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
71 HOSPITAL AVE, NORTH ADAMS REGIONAL HOSPITAL LABORATORY, NORTH ADAMS, MA 01247
(413) 664-5589
(413) 664-5698
Mailing address
PO BOX 206, WILLIAMSTOWN, MA 01267
(413) 458-8400
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
34627
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2031276
—
MA
Enumeration date
01/30/2006
Last updated
10/05/2007
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