DR. MARK R GLICK MD NPI 1912984030

NPI Information

  • NPI: 1912984030
  • Provider Name: DR. MARK R GLICK, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • Address: 775 NORMAN DR
    LEBANON, PA
    ZIP 17042
  • Phone: (717) 274-5500

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NPI Details

DR. Mark R Glick, MD is a cardiovascular disease internal medicine in Lebanon, PA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Mark R Glick, MD NPI is 1912984030. 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:

775 NORMAN DR
LEBANON, PA
ZIP 17042-497
Phone: (717) 274-5500
Fax: (717) 202-0130

The enumeration date for this NPI number is 12/29/2005 and was last updated on 9/6/2016.

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
1207RC0000XInternal MedicineCardiovascular DiseaseMD037414EPENNSYLVANIAYes

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 Other Provider Identifier Issuer
1PO1680949OTHERPENNSYLVANIARAILROAD MEDICARE
2146295MEDICARE PINPENNSYLVANIA
3C31791MEDICARE UPINPENNSYLVANIA
40011222870004MEDICAIDPENNSYLVANIA

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: 11/21/2025

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