DR. RICHARD E. GLIKLICH M.D. NPI 1922099027

NPI Information

NPI: 1922099027
Provider Name: DR. RICHARD E. GLIKLICH, M.D.
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

PECOS Registration: Yes

Address:
243 CHARLES ST
BOSTON, MA
ZIP 02114
Phone: (617) 573-4458
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DR. Richard E. Gliklich, M.D. is a facial plastic surgery otolaryngology in Boston, MA. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Richard E. Gliklich, M.D. NPI is 1922099027. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

243 CHARLES ST
BOSTON, MA
ZIP 02114-002
Phone: (617) 573-4458

The NPI 1922099027 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/31/2005 and was last updated on 11/6/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YS0123X	Otolaryngology	Facial Plastic Surgery	77417	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	3107493	MEDICAID	MASSACHUSETTS
2	J13648	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
3	F53050	MEDICARE UPIN	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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