Individual
ALEXANDER B GLICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 PASSAIC AVE, PASSAIC, NJ 07055-3604
(973) 779-7999
Mailing address
PO BOX 5220, TOMS RIVER, NJ 08754-5220
(732) 349-3838
(732) 349-2233
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA06345200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01000449006
AMERICHOICE
—
01
—
0699977
GHI
—
01
—
0993219000
AMERIHEALTH
—
01
—
1144690
MHP
—
01
—
1821709
UHC
—
01
—
2K7355
HEALTHNET
—
01
—
30148
UHP
—
01
—
3544558
AETNA
—
05
—
6945805
—
NJ
01
—
83783
AMGP
—
01
—
P00165380
RRM
—
01
—
P1281074
OX
—
Enumeration date
05/15/2006
Last updated
03/30/2016
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