Individual
DR. ETHAN MICHAEL GLICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
515 RARITAN AVENUE, HIGHLAND PARK, NJ 08904-2901
(732) 572-4244
(732) 572-4274
Mailing address
515 RARITAN AVENUE, HIGHLAND PARK, NJ 08904-2901
(732) 572-4244
(732) 572-4274
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1009925
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0811408
—
NJ
Enumeration date
08/08/2007
Last updated
08/08/2007
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