Glick, Craig Steven
Glick, Craig Steven is an individual health care provider with primary practice located at 65 W Jimmie Leeds Rd , Pomona NJ 08240-9102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Glick, Craig Steven can be contacted via phone (609) 677-9729.Contact Information
Primary practice address
65 W Jimmie Leeds Rd
Pomona NJ 08240-9102
Phone: (609) 677-9729
Fax: (609) 652-6270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 25MA05779700 | New Jersey |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA05779700 | New Jersey |
Profile Details
| NPI number | 1356454540 |
|---|---|
| LBN Legal business name | Glick, Craig Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Nov 22nd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356454540 | NPPES |
| New Jersey | MEDICAID | 5335108 | |
| New Jersey | Other | 300081001 | |
| New Jersey | Other | P00758300 | |
| New Jersey | Other | P00847775 |
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