Mark R Glick in Lebanon - Cardiovascular Disease
Mark R Glick - NPI 1912984030
Mark R Glick is a Cardiovascular Disease in Lebanon, Pennsylvania. Mark R Glick practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Mark R Glick is 1912984030. The last update date is 2016-09-06.
Mark R Glick's current location address is 775 Norman Dr, Lebanon, Pennsylvania. You can contact this provider via phone number 7172745500 and fax number 7172020130. The mailing address for Mark R Glick is 775 Norman Dr, Lebanon, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark R Glick |
|---|---|
| Address | 775 Norman Dr, Lebanon, Pennsylvania |
| Phone Number | 7172745500 |
| Fax Number | 7172020130 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912984030 |
|---|---|
| Provider Enumeration Date | 2005-12-29 |
| Last Updated Date | 2016-09-06 |
Provider Mailing Address Detail
| Address | 775 Norman Dr |
|---|---|
| City | Lebanon |
| State | Pennsylvania (PA) |
| Post Code | 170427497 |
| Phone Number | 7172745500 |
| Fax Number | 7172020130 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | MD037414E |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PO1680949 | PA | RAILROAD MEDICARE | |
| 11222870004 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark R Glick by the Centers for Medicare & Medicaid Services?
The Mark R Glick has been assigned the NPI (National Provider Identifier) 1912984030. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark R Glick's physical address?
The Mark R Glick is physically located at 775 Norman Dr, in the city of Lebanon, PA, with the postal code 170427497.
What is Mark R Glick's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark R Glick's area of specialization is Cardiovascular Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rc0000X.
On what date did Mark R Glick receive its 1912984030 assignment from the Centers for Medicare & Medicaid Services?
The Mark R Glick was assigned its 1912984030 on 2005-12-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Mark R Glick, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark R Glick, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-09-06.