Individual
DR. PETER LOUIS GLICKMAN
Active
Individual
DR. PETER LOUIS GLICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD426075
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03241196
—
NY
05
—
054764600
—
FL
01
—
101234464
AMERICHOICE OF PA
PA
05
—
101234464
—
PA
05
—
1600156
—
LA
05
—
1659350734
—
IA
01
—
1725277
HIGHMARK BLUE SHIELD
PA
05
—
200262380A
—
OK
01
—
231955165
INTERGROUP SERVICES
PA
01
—
2393615000
KHPE
PA
05
—
2855227
—
OH
01
—
30020753
KEYSTONE MERCY
PA
05
—
808352700
—
ID
01
—
9336768
PHCS
PA
05
—
MD001PA
—
AK
01
—
MD426075
HEALTH PARTNERS
PA
01
—
P00229796
RAILROAD MEDICARE
PA
01
—
PA7584
HEALTHNET
PA
Enumeration date
01/17/2006
Last updated
08/05/2015
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