Benjamin S Glacken, IDC

NPI #1700598026 in Needmore, Pennsylvania

Provider Information

NPI Number: 1700598026
Entity Type: Individual
Name: Benjamin S Glacken, IDC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: IDC
Enumeration Date: Dec 19, 2022
Last Updated: Dec 19, 2022

Practice Location

Address: 1261 PLEASANT RIDGE RD
City: Needmore
State: Pennsylvania
ZIP Code: 17238-8935
Phone: (484) 644-0539

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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