Dr. Glenn Howard Pisk
Adolescent Medicine
2129 W Oregon Ave First Floor Rear
Philadelphia
, Pennsylvania 19145-4131
Dr. Glenn Howard Pisk
Adolescent Medicine
2129 W Oregon Ave First Floor Rear
Philadelphia
, Pennsylvania 19145-4131
(215) 462-5922
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Dr. Glenn Howard Pisk
- 2129 W Oregon Ave First Floor Rear
- Philadelphia, PA
- Zip : 19145-4131
- Fax : (215) 462-5922
- Phone : (215) 462-6106
Second Address
- Dr. Glenn Howard Pisk
- 2129 W Oregon Ave First Floor Rear
- Philadelphia, PA
- Zip : 19145-4131
- Fax : (215) 462-5922
- Phone : (215) 462-6106
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | MD0411084L | PA |
National Provider Identifier
| NPI | 1114971066 |
|---|---|
| Provider Name | Dr. Glenn Howard Pisk |
| First Address | Philadelphia, PA 19145-4131 |
| Second Address | Philadelphia, PA 19145-4131 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2006 |
| Last Update Date | 11/07/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0016075460001 | (05) | PA |
| E93071 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.