Individual
SHAWN M GLIKLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
70 EAST ST, METHUEN, MA 01844-4597
(978) 687-0156
Mailing address
70 EAST STREET, METHUEN, MA 01844-4597
(978) 687-0156
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
205503
MA
Other
Enumeration date
10/17/2006
Last updated
07/24/2007
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