John L Glick (NPI# 1821029166, PAC ID# 4385727460) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1821029166 |
| PAC ID by PECOS | 4385727460 |
| Professional Enrollment ID | I20080213000033 |
| Full Name | John L Glick |
| Address |
19 Belmont Ave Suite 1205 Brattleboro VT 05301-4004 |
| Phone Number | 8022549240 |
| Gender | M |
| Medical School | CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1964 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | ENDOCRINOLOGY |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 470011 | BRATTLEBORO MEMORIAL HOSPITAL |
| 300003 | MARY HITCHCOCK MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 19 Belmont Ave, Suite 1205, Brattleboro, VT 05301-4004 | 8022549240 |
| Street Address |
19 BELMONT AVE SUITE 1205 |
| City | BRATTLEBORO |
| State | VT |
| Zip | 05301-4004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily C Martyn | Certified Nurse Midwife (cnm) | Brattleboro Memorial Hospital | 19 Belmont Ave, Suite G105, Brattleboro, VT 05301-7109 |
| Gregory R Gadowski | General Surgery | Brattleboro Memorial Hospital | 19 Belmont Ave, Suite 1202, Brattleboro, VT 05301-4004 |
| Agnes L Mikijaniec | Nurse Practitioner | Brattleboro Memorial Hospital | 19 Belmont Ave, Suite 1202, Brattleboro, VT 05301-4004 |
| Toller Wilson | Internal Medicine | Brattleboro Memorial Hospital | 19 Belmont Ave, Suite G105, Brattleboro, VT 05301-7109 |
| Jennifer L Funaioli Sheehan | Family Medicine | Brattleboro Memorial Hospital | 19 Belmont Ave, Suite G105, Brattleboro, VT 05301-7109 |
| Stephen H Fox | General Surgery | Brattleboro Memorial Hospital | 19 Belmont Ave, Suite 1202, Brattleboro, VT 05301-4004 |
| Joseph E Rosen | General Surgery | Brattleboro Memorial Hospital | 19 Belmont Ave, Suite 1202, Brattleboro, VT 05301-4004 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marc R Laurens | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
| Susan M Fields | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
| Lisa Tallin | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
| Laura J Kelloway | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
| James M Benton | Psychologist, Clinical | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
| Jilisa Snyder | Psychologist, Clinical | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
| Stephanie Ann Cryer | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
| Dolores G Kane | Clinical Social Worker | Brattleboro Retreat | Anna Marsh Lane, Brattleboro, VT 05301 |
| Harvey B Liss | Psychologist, Clinical | 139 Main St, Suite 610, Brattleboro, VT 05301-2800 | |
| Sandra T Campbell | Psychologist, Clinical | 139 Main St, Unit 610, Brattleboro, VT 05301-2800 | |
| Find all physicians in zip 05301 | |||
| City | BRATTLEBORO |
| Zip Code | 05301 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BRATTLEBORO + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on John L Glick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.