Glicksman, Jeffrey
Glicksman, Jeffrey is an individual health care provider with primary practice located at 1221 Mercantile Ln , Upper Marlboro MD 20774-5374. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Glicksman, Jeffrey can be contacted via phone (301) 618-5500.Contact Information
Primary practice address
1221 Mercantile Ln
Upper Marlboro MD 20774-5374
Phone: (301) 618-5500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 63718 | New York |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | D0090587 | Maryland |
Profile Details
| NPI number | 1043674708 |
|---|---|
| LBN Legal business name | Glicksman, Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2016 |
| Last updated | Aug 25th, 2021 - about 5 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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