Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0210X | Pediatric Nephrologist | 25MA10302600 | NJ |
Y | 2080P0210X | Pediatric Nephrologist | MD460998 | PA |
NPI | 1477852945 |
---|---|
Provider Name | Caroline Anne Gluck |
First Address | Rockland, DE 19732-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2011 |
Last Update Date | 03/05/2018 |