Individual
ORLI MARISSA GLICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS025778
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT022427
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/19/2023
Last updated
06/26/2026
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