Individual
GEORGE PATRICK GLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7450 ALBERT RD FL 2, BRANDYWINE, MD 20613-3035
(301) 888-2233
(301) 888-9133
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R067284
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051617100
—
MD
Enumeration date
11/09/2006
Last updated
02/16/2023
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