Individual
MARC F. GLICKSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3000
(215) 662-7011
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-3000
(215) 662-7011
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD029138E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001237222
—
CT
01
—
010023722CT01
ANTHEM BC/BS
CT
01
—
A2516306
OXFORD
CT
Enumeration date
12/21/2005
Last updated
11/22/2019
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