Doctor Name: | DR. RICHARD SAUL GLICK |
NPI Number: | 1104989482 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OS002648L |
Business Practice Address: | 1444 Candlebrook Dr Dresher, PA - 190251023 |
Business Phone Number: | 2156350333 |
Business Fax Number: | 2158851721 |
Mailing Address: | 1444 Candlebrook Dr, DRESHER |
State: | PA |
Postal Code: | 190251023 |
Phone Number: | 2156350333 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 08/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | OS002648L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |