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Individual

DR. ROBERT L. GLICINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-2340
(570) 808-7904
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD044032E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011652480004
PA
Enumeration date
03/10/2006
Last updated
04/24/2023
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