Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D85988 | MD |
N | 111NI0900X | Internist | D85988 | MD |
N | 207RC0200X | Critical Care Medicine | D85988 | MD |
N | 207RP1001X | Pulmonary Disease | D85988 | MD |
Y | 207RS0012X | Sleep Medicine | D85988 | MD |
NPI | 1063830685 |
---|---|
Provider Name | Danielle Renee Glick |
First Address | Baltimore, MD 21264-4442 |
Second Address | Baltimore, MD 21201-4606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2014 |
Last Update Date | 26/07/2021 |