Kristen M Glick PA

NPI 1760635080 - Physician Assistant - 363A00000X

NPI Details
NPI 1760635080
Gender Female
Enumeration Date 10/30/2008
Last Updated 08/28/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
267 GRANT ST
BRIDGEPORT CT, 06610-2805, US
Phone (203) 384-3693
Fax (203) 384-3693
Business Location
267 GRANT ST
BRIDGEPORT CT, 06610-2805, US
Phone (203) 384-3693
Fax (203) 384-3693
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 012938
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According to our database, Kristen M Glick PA NPI is 1760635080, taxonomy code is 363A00000X and license number is 012938, license state is located at New York. Kristen M Glick PA physically located at 267 Grant St, Bridgeport CT, 06610-2805. NPI Number Kristen M Glick PA has the Individual type.

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1760635080 NPI number is provided on an as is basis without warranty of any kind. 1760635080 is maintained by the National Plan & Provider Enumeration System. The contents of Kristen M Glick PA are for informational purposes only.