Individual
HYMAN GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 654-7111
(617) 421-1065
Mailing address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 654-7111
(617) 421-1065
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
35054
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014435
NHP
MA
05
—
2002078
—
MA
01
—
4414144-001
CIGNA
MA
01
—
705098
TUFTS
MA
01
—
B206
HPHC
MA
01
—
M08320
BCBS
MA
Enumeration date
12/26/2006
Last updated
03/04/2021
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