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Individual

DR. HOWARD A GLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
21001 SYCOLIN RD, ASHBURN, VA 20147-4073
(703) 858-7838
(703) 858-9697
Mailing address
21001 SYCOLIN RD, SUITE 360, ASHBURN, VA 20147
(703) 858-7838
(703) 858-9697

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101032453
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004945140
VA
05
293477
VA
05
540948306
VA
Enumeration date
08/15/2006
Last updated
02/18/2016
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