Whalio Doctors

NPI 1023045333

Jonathan Neil Glickman, MDPHD

Practitioner Anatomic Pathology & Clinical Pathology Physician Newton, MA

Practice location

Address
320 Needham Street Suite 200, Newton, MA 02464
Phone
(617) 969-4100
Fax
(617) 969-3393
Mailing address
PO Box 840294, Dallas, TX 75284-0294

Registered specialties (2)

Anatomic Pathology & Clinical Pathology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 158613 (MA)
Anatomic Pathology Physician
Allopathic & Osteopathic Physicians Taxonomy 207ZP0101X Licence 158613 (MA)

Registry record

NPI
1023045333
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Jun 2006
Record last updated
21 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.