Individual
DR. THOMAS HARTER GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE HOSPITAL, CAMBRIDGE, MA 02139
(617) 665-1017
(617) 665-1671
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
56325
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151351
—
MA
01
—
P00275963
RR MEDICARE
—
Enumeration date
02/02/2006
Last updated
03/17/2008
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