Glenn Howard Pisk in Philadelphia - Adolescent Medicine

Glenn Howard Pisk - NPI 1114971066

Glenn Howard Pisk is a Adolescent Medicine in Philadelphia, Pennsylvania. Glenn Howard Pisk practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Glenn Howard Pisk is 1114971066. The last update date is 2013-07-11.

Glenn Howard Pisk's current location address is 2129 W Oregon Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2154626106 and fax number 2154625922. The mailing address for Glenn Howard Pisk is 2129 W Oregon Ave, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Glenn Howard Pisk
Address 2129 W Oregon Ave, Philadelphia, Pennsylvania
Phone Number 2154626106
Fax Number 2154625922
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1114971066
Provider Enumeration Date 2006-05-22
Last Updated Date 2013-07-11

Provider Mailing Address Detail

Address 2129 W Oregon Ave
City Philadelphia
State Pennsylvania (PA)
Post Code 191454131
Phone Number 2154626106
Fax Number 2154625922

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No MD0411084L
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
16075460001 PA --

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FAQs about Glenn Howard Pisk

What is the unique 10-digit identifier code assigned to Glenn Howard Pisk by the Centers for Medicare & Medicaid Services?

The Glenn Howard Pisk has been issued the NPI (National Provider Identifier) 1114971066 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Glenn Howard Pisk is located?

The Glenn Howard Pisk is situated at the following address: 2129 W Oregon Ave, Philadelphia, PA, 191454131.

What is Glenn Howard Pisk's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Glenn Howard Pisk is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080A0000X.

When was the Glenn Howard Pisk's 1114971066 issued?

The Glenn Howard Pisk's 1114971066 was issued on 2006-05-22.

When was the information related to Glenn Howard Pisk most recently updated or refreshed?

The details pertaining to the Glenn Howard Pisk, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-07-11.

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