Ethan Michael Glickman in Highland Park - General Practice
Ethan Michael Glickman - NPI 1508057142
Ethan Michael Glickman is a General Practice in Highland Park, New Jersey. Ethan Michael Glickman practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ethan Michael Glickman is 1508057142. The last update date is 2007-08-08.
Ethan Michael Glickman's current location address is 515 Raritan Avenue, Highland Park, New Jersey. You can contact this provider via phone number 7325724244 and fax number 7325724274. The mailing address for Ethan Michael Glickman is 515 Raritan Avenue, Highland Park, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethan Michael Glickman |
|---|---|
| Address | 515 Raritan Avenue, Highland Park, New Jersey |
| Phone Number | 7325724244 |
| Fax Number | 7325724274 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1508057142 |
|---|---|
| Provider Enumeration Date | 2007-08-08 |
| Last Updated Date | 2007-08-08 |
Provider Mailing Address Detail
| Address | 515 Raritan Avenue |
|---|---|
| City | Highland Park |
| State | New Jersey (NJ) |
| Post Code | 89042901 |
| Phone Number | 7325724244 |
| Fax Number | 7325724274 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D1009925 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 811408 | NJ | -- |
Post Comment/ Review Below
What is the Ethan Michael Glickman's 1508057142?
The Ethan Michael Glickman's NPI (National Provider Identifier) Number is 1508057142. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ethan Michael Glickman's physical address?
The Ethan Michael Glickman is physically located at 515 Raritan Avenue, in the city of Highland Park, NJ, with the postal code 89042901.
What is the Ethan Michael Glickman's specialty and taxonomy code?
The Ethan Michael Glickman's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When was the Ethan Michael Glickman's 1508057142 issued?
The Ethan Michael Glickman's 1508057142 was issued on 2007-08-08.
As of what date was the information pertaining to Ethan Michael Glickman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ethan Michael Glickman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY