Doctor Name: | LEE M. GLICKMAN |
NPI Number: | 1295702884 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MA057842 |
Business Practice Address: | 2480 Pennington Road Suite 101 Pennington, NJ - 085345227 |
Business Phone Number: | 6097375911 |
Business Fax Number: | 6097375914 |
Mailing Address: | P.o. Box 8500-7761, PHILADELPHIA |
State: | PA |
Postal Code: | 191787761 |
Phone Number: | 6098157810 |
Fax Number: | 6098157814 |
NPI Enumeration Date: | 03/02/2006 |
NPI Last Update Date: | 07/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | MA057842 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |