Individual
JOHN L. GLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 BELMONT AVE STE 1205, BRATTLEBORO, VT 05301-4004
(802) 254-9240
(802) 257-8654
Mailing address
19 BELMONT AVE, BRATTLEBORO, VT 05301-7109
(802) 254-9240
(802) 257-8654
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0420003993
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VT4335
—
VT
Enumeration date
07/05/2006
Last updated
10/04/2019
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