Glickman, Joel D

Glickman, Joel D is an individual health care provider with primary practice located at 3400 Civic Center Blvd 1St Floor, Suite 300 S, Philadelphia PA 19104-4306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Glickman, Joel D can be contacted via phone (215) 662-2638.

Contact Information

Primary practice address
3400 Civic Center Blvd 1St Floor, Suite 300 S Philadelphia PA 19104-4306
Phone: (215) 662-2638
Fax: (215) 349-5703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 044118L Pennsylvania
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD044118L Pennsylvania

Profile Details

NPI number 1124027727
LBN Legal business name Glickman, Joel D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Sep 2nd, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124027727 NPPES
Other 670719 BLUE CROSS/BLUE SHIELD
MEDICAID 0000125516705 BLUE CROSS/BLUE SHIELD

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