Jonathan Neil Glickman, M.D., PHD
Pathology, Anatomic Pathology & Clinical Pathology in Newton, MA. Individual provider (NPI-1).
NPI number1023045333
StatusActive
Last updated in NPPESNov 21, 2013
Details
- NPI
- 1023045333
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Neil Glickman
- Credential
- M.D., PHD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2006
- Last updated
- Nov 21, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 158613 | MA | Yes |
| 207ZP0101X | Pathology, Anatomic Pathology | 158613 | MA |
Practice location
320 Needham StreetSuite 200
Newton, MA 02464
Phone 617-969-4100 · Fax 617-969-3393
Mailing address
Po Box 840294Dallas, TX 75284-0294
Phone 888-344-1160 · Fax 972-331-3148
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