Laura B Glicksman
Orthodontists
119 Chestnut St
Needham
, Massachusetts 02492-2515
Laura B Glicksman
Orthodontists
119 Chestnut St
Needham
, Massachusetts 02492-2515
(781) 449-0116
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Laura B Glicksman
- 119 Chestnut St
- Needham, MA
- Zip : 02492-2515
- Fax : (781) 449-0116
- Phone : (781) 449-3560
Second Address
- Laura B Glicksman
- 119 Chestnut St
- Needham, MA
- Zip : 02492-2515
- Fax : (781) 449-0116
- Phone : (781) 449-3560
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 19557 | MA |
National Provider Identifier
| NPI | 1053575068 |
|---|---|
| Provider Name | Laura B Glicksman |
| First Address | Needham, MA 02492-2515 |
| Second Address | Needham, MA 02492-2515 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/07/2008 |
| Last Update Date | 18/07/2008 |
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.