Individual
DR. ALAN GLICKLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 PENNY LN, LONG VALLEY, NJ 07853-3097
(908) 876-4180
Mailing address
2 PENNY LN, LONG VALLEY, NJ 07853-3097
(908) 876-4180
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36254
WI
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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