Individual
DR. ANDREW L GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
801 MASSACHUSETTS AVE, CROSSTOWN 2, BOSTON, MA 02118-0211
(617) 414-7399
(617) 414-4676
Mailing address
960 MASSACHUSETTS AVE, FL 2 PROVIDER ENROLLMENT, BOSTON, MA 02118-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
292362
MA
Other
Enumeration date
03/16/2019
Last updated
04/03/2024
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