Individual
DR. CHRISTIE LEIGH GLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, SUITE 9329, PHILADELPHIA, PA 19104-4319
(215) 590-1858
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 425-9300
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD457536
PA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD457536
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031403670001
—
PA
Enumeration date
11/23/2011
Last updated
06/01/2023
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