Michele Isaacs Gliksman

NPI #1316207020 in Bergenfield, New Jersey

Provider Information

NPI Number: 1316207020
Entity Type: Organization
Organization Name: Michele Isaacs Gliksman
Primary Specialty: Legal Medicine
Enumeration Date: May 29, 2012
Last Updated: May 29, 2012

Practice Location

Address: 155 N WASHINGTON AVE
City: Bergenfield
State: New Jersey
ZIP Code: 07621-1742
Phone: (201) 384-8310

Authorized Official

Name: MRS. KIONA MACK
Title: ADMINISTRATIVE MEDICAL ASSISTANT
Phone: (201) 384-8310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Legal Medicine	173000000X	Primary

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