Individual
ANDREW MARK GLICKSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4665 BUSINESS CENTER DR, FAIRFIELD, CA 94534-1675
(707) 863-4258
Mailing address
4665 BUSINESS CENTER DR, FAIRFIELD, CA 94534-1675
(707) 863-4258
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G25783
CA
Other
Enumeration date
01/14/2017
Last updated
01/14/2017
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