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Contact Information

CRAIG S GLICK, MD
65 W JIMMIE LEEDS RD
POMONA, NJ08240-9102
 Phone: 609-677-9729
 Fax: 609-652-6270
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Body Imaging

2085B0100X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for CRAIG S GLICK · (Male)

NPI # 1356454540
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2006
Last updated 11/22/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA05779700
  • NJ Medicaid 5335108
  • NJ Other 300081001 RAILROAD MEDICARE
  • NJ Other P00758300 RAILROAD MEDICARE
  • NJ Other P00847775 RAILROAD MEDICARE
Hospital affiliation(s)
  • ATLANTICARE REGIONAL MEDICAL CENTER - CITY DIV - (Acute Care)
    1925 PACIFIC AVE
    ATLANTIC CITY, NJ 08401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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