Dr. Glenn Howard Pisk
M.D. | Pediatric Adolescent Medicine | Male
Dr. Glenn Howard Pisk, M.D. is a Philadelphia, Pennsylvania based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Glenn Howard Pisk is
2129 W Oregon Ave, First Floor Rear, Philadelphia, Pennsylvania - 19145-4131. He can be contacted on phone at
215-462-6106 and fax number 215-462-5922.
Dr. Glenn Howard Pisk is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Glenn Howard Pisk is
1114971066 which was assigned by NPPES on 22 May, 2006 and it was last updated on 11 Jul, 2013.
Dr. Glenn Howard Pisk license number is
MD0411084L for Pediatrics Adolescent Medicine (2080A0000X) in Pennsylvania.
Dr. Glenn Howard Pisk specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Glenn Howard Pisk basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Glenn Howard Pisk |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Glenn Howard Pisk address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2129 W Oregon Ave, First Floor Rear
Philadelphia, PA, 19145-4131
United States |
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| Phone Number : | 215-462-6106 |
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| Fax Number : | 215-462-5922 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1114971066 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 22 May, 2006 |
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| Last Updated On : | 11 Jul, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Glenn Howard Pisk are as mentioned. Primary taxonomy code for Dr. Glenn Howard Pisk, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | MD0411084L | PA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Glenn Howard Pisk such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 0016075460001 | MEDICAID | PA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2129 W Oregon Ave, First Floor Rear
Philadelphia, PA, 19145-4131
United States |
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| Phone Number : | 215-462-6106 |
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| Fax Number : | 215-462-5922 |
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Business Location:
Patients can refer following map for directions to
Dr. Glenn Howard Pisk practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.