Individual
AMY GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4901 VETERANS MEMORIAL BLVD, METAIRIE, LA 70006-5210
(504) 887-1133
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD.13012R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1560359
—
LA
Enumeration date
05/04/2006
Last updated
11/26/2012
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