Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHAN R GLICKEN, MD
ActiveSTEPHAN R GLICKEN, MD is a Pediatrics healthcare provider located in HAZLETON, Pennsylvania. NPI 1225144041 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · HAZLETON, PA
Registration Details
- NPI Number
- 1225144041
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2006 (19.939209155427 yrs)
- Last Updated
- Feb 13, 2020
- Licenses
-
75192 (MA)MD433646 (PA)
Practice Information
- Address
-
564 W BROAD STHAZLETON, PA, 182016108Browse PA providers · Browse ZIP 18201
- Phone
- 5705016400
- Fax
- 5704532353
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in HAZLETON, PA
| Name | Credential | NPI |
|---|---|---|
| MR. BASSAM FAIZ BITTAR | M.D. | 1356345748 |
| BETHANY ANNE VENIT | MD | 1104812940 |
| DR. DIEGO DE JESUS GONZALEZ | MD | 1104816875 |
| DR. KAILAS D DAVE | MD FAAP | 1811976327 |
| DR. GRACIELA CATALINA BIANCO | M.D. | 1740230978 |
| DR. JAMES FRANCIS CAGGIANO | MD | 1801942123 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.