Stephan R Glicken in Hazleton - Pediatrics
Stephan R Glicken - NPI 1225144041
Stephan R Glicken is a Pediatrics in Hazleton, Pennsylvania. Stephan R Glicken practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stephan R Glicken is 1225144041. The last update date is 2020-02-13.
Stephan R Glicken's current location address is 564 W Broad St, Hazleton, Pennsylvania. You can contact this provider via phone number 5705016400 and fax number 5704532353. The mailing address for Stephan R Glicken is 564 W Broad St, Hazleton, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephan R Glicken |
|---|---|
| Address | 564 W Broad St, Hazleton, Pennsylvania |
| Phone Number | 5705016400 |
| Fax Number | 5704532353 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1225144041 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2020-02-13 |
Provider Mailing Address Detail
| Address | 564 W Broad St |
|---|---|
| City | Hazleton |
| State | Pennsylvania (PA) |
| Post Code | 182016108 |
| Phone Number | 5705016400 |
| Fax Number | 5704532353 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 75192 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1021155010001 | PA | -- | |
| 3810012098 | WV | -- | |
| 102115501-0005 | PA | -- | |
| 2860426 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Stephan R Glicken by the Centers for Medicare & Medicaid Services?
The Stephan R Glicken has been assigned the NPI (National Provider Identifier) 1225144041 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Stephan R Glicken's facilities are situated?
The facilities of Stephan R Glicken are physically located at the following address: 564 W Broad St, Hazleton, PA, 182016108.
What is Stephan R Glicken's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stephan R Glicken is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.
On what date did Stephan R Glicken receive its 1225144041 assignment from the Centers for Medicare & Medicaid Services?
The Stephan R Glicken was assigned its 1225144041 on 2006-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Stephan R Glicken most recently updated or revised?
The information pertaining to Stephan R Glicken, including its address, specialty, and other relevant details, was last updated or revised on 2020-02-13.