Stephan R Glicken, MD

NPI #1225144041 in Hazleton, Pennsylvania

Provider Information

NPI Number: 1225144041
Entity Type: Individual
Name: Stephan R Glicken, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Aug 22, 2006
Last Updated: Feb 13, 2020

Practice Location

Address: 564 W BROAD ST
City: Hazleton
State: Pennsylvania
ZIP Code: 18201-6108
Phone: (570) 501-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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