Richard Saul Glick, D.O.
Individual provider Active NPI General Practice Physician · Dresher, PA
NPI 1104989482 · NPPES record last updated Aug 12, 2008
Key facts
- NPI
- 1104989482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- OS002648L (PA)
- Practice address
- 1444 Candlebrook Dr
Dresher, PA 19025-1023 - Phone
- (215) 635-0333
- Fax
- (215) 885-1721
- NPI assigned
- Dec 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS002648L | PA | MD | Gynecology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | OS002648L | PA | |
| General Practice Physician | 208D00000X | OS002648L | PA | Yes |
Addresses
Primary practice location
1444 Candlebrook Dr
Dresher, PA 19025-1023
Mailing address
1444 Candlebrook Dr
Dresher, PA 19025-1023
Phone (215) 635-0333
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0045371000 | Other | PA | HMO ID |
| 000090349 | Other | PA | HIGHMARK BLUE SHIELD ID |
Other providers in Dresher, PA
- Penny Freeman
- Susanna Furmansky
- Joseph T Gallagher
- Gaudenzia Inc
- Jeffrey David Gemi
- Hope Green
- Richard Bruce Greene
- Amandeep Kaur Grewal
- Thomas M. Guidice
- Shelley Rosen Hahn
All providers in Dresher, PA · General Practice Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.