Glickman, Jonathan Neil

Glickman, Jonathan Neil is an sole proprietor health care provider with primary practice located at 320 Needham Street Suite 200, Newton MA 02464. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Glickman, Jonathan Neil can be contacted via phone (617) 969-4100.

Contact Information

Primary practice address
320 Needham Street Suite 200 Newton MA 02464
Phone: (617) 969-4100
Fax: (617) 969-3393
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 158613 Massachusetts
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 158613 Massachusetts

Profile Details

NPI number 1023045333
LBN Legal business name Glickman, Jonathan Neil
Credentials M.D., PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2006
Last updated Nov 21st, 2013 - 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 1023045333 NPPES
Massachusetts MEDICAID 3196046

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