Individual
GLENN SCOTT SLICK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1995 TECHNOLOGY PKWY, MECHANICSBURG, PA 17050-8522
(717) 782-5118
(717) 782-5854
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1921
(860) 679-2147
(860) 679-4624
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1588314587
CT
207L00000X
Anesthesiology Physician
Primary
MD495075
PA
390200000X
Student in an Organized Health Care Education/Training Program
1588314587
CT
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/24/2022
Last updated
05/10/2026
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