Active NPIIndividual provider

Jordan Glicksman, MD

Otolaryngology in Danvers, Massachusetts

NPI Number1124479282
Practice location
104 Endicott St Ste 100, Danvers, MA 01923-3623
Fax
—
Last updated
July 21, 2022

Jordan Glicksman is an Otolaryngology based in Danvers, MA. Jordan Glicksman practices in Danvers, MA and has the professional credentials of MD. The NPI Number for Jordan Glicksman is 1124479282 and holds a License No. 270202 (MA). The current practice location address for Jordan Glicksman is 104 Endicott St Ste 100, Danvers, MA 01923-3623 and can be reached out via phone at 978-745-6601.

Provider Profile Details

NPI Number
1124479282
Provider Name
Jordan Glicksman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
104 Endicott St Ste 100, Danvers, MA 01923-3623
Phone Number
978-745-6601
Primary Taxonomy
Otolaryngology · 207Y00000X
Sole Proprietor
No
Provider Enumeration Date
June 29, 2016
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
104 Endicott St Ste 100
Danvers, MA 01923-3623
Zip
01923-3623
Phone Number
978-745-6601
Danvers, MA 01923Get directions →

Provider Business Mailing Address Details

Address
104 Endicott St Ste 100
Danvers, MA 01923-3623
City
Danvers
State
MA
Zip
01923-3623
Phone Number
978-745-6601

License Information

License Number
270202
License State
MA
Taxonomy
Otolaryngology · 207Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jordan Glicksman, MD?

The NPI number of Jordan Glicksman, MD is 1124479282. It was assigned on June 29, 2016 and is currently active in the NPPES registry.

What is the specialty of Jordan Glicksman, MD?

Jordan Glicksman, MD is registered under the primary taxonomy Otolaryngology (code 207Y00000X), licensed in MA under license number 270202.

Where does Jordan Glicksman, MD practice?

The practice location is 104 Endicott St Ste 100, Danvers, MA 01923-3623. The office can be reached at 978-745-6601 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124479282 directly on the NPPES registry website.

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