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Individual

MRS. MELISSA ANNE GLICKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
BETH ISRAEL DEACONESS MEDICAL CENTER, 330 BROOKLINE AVE, SHAPIRO 7 BMT, BOSTON, MA 02215
(617) 667-9920
(617) 667-3317
Mailing address
BETH ISRAEL DEACONESS MEDICAL CENTER, 330 BROOKLINE AVE, SHAPIRO 7 BMT, BOSTON, MA 02215
(617) 667-9920
(617) 667-3317

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2301678
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2301678
MA

Other

Enumeration date
10/30/2019
Last updated
08/03/2023
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