Organization
GLICKMAN DESIGN BUILD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL C GLCKMAN (MANAGER)
(301) 444-4663
Entity
Organization
Contact information
Practice address
14516 PEBBLEWOOD DR, NORTH POTOMAC, MD 20878-4311
(301) 444-4663
(301) 294-6093
Mailing address
14516 PEBBLEWOOD DR, NORTH POTOMAC, MD 20878-4311
(301) 444-4663
(301) 294-6093
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
MHIC# 9793
MD
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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