Caroline Glicksman, M.D.F.A.C.S.
Individual provider Active NPI Plastic Surgery Physician · Sea Girt, NJ
NPI 1467429027 · NPPES record last updated Nov 19, 2010
Key facts
- NPI
- 1467429027
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- MA56647 (NJ)
- Practice address
- 2164 Highway 35
Sea Girt, NJ 08750-1013 - Phone
- (732) 974-2424
- Fax
- (732) 974-0134
- NPI assigned
- Mar 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA56647 | NJ | MD | Plastic Surgery Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MA56647 | NJ | Yes |
Addresses
Primary practice location
2164 Highway 35
Sea Girt, NJ 08750-1013
Mailing address
2164 Highway 35
Sea Girt, NJ 08750-1013
Phone (732) 974-2424
Other providers in Sea Girt, NJ
- Nicolas Froio
- Garrow Family Chiropractic, P.C.
- Anthony Scott Garrow
- Michael Gatto
- Seraya Ghoneim
- Granzin'S Counseling Services LLC
- Hollyann Griffieth
- Victoria Greeves Grothues
- Francis Peter Halas
- Maryna Hall
All providers in Sea Girt, NJ · Plastic Surgery Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2010. 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.