Active NPIIndividual provider

Glen J Sickorez, MD

Emergency Medicine in Dorchester Center, Massachusetts

NPI Number1861445736
Practice location
2100 Dorchester Ave, Dorchester Center, MA 02124-5615
Fax
—
Last updated
July 8, 2007

Glen J. Sickorez is an Emergency Medicine based in Dorchester Center, MA. Glen J. Sickorez practices in Dorchester Center, MA and has the professional credentials of MD. The NPI Number for Glen J. Sickorez is 1861445736 and holds a License No. 56395 (MA). The current practice location address for Glen J. Sickorez is 2100 Dorchester Ave, Dorchester Center, MA 02124-5615 and can be reached out via phone at 617-296-4000.

Provider Profile Details

NPI Number
1861445736
Provider Name
Glen J. Sickorez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2100 Dorchester Ave, Dorchester Center, MA 02124-5615
Phone Number
617-296-4000
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
May 19, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
2100 Dorchester Ave
Dorchester Center, MA 02124-5615
Zip
02124-5615
Phone Number
617-296-4000
Dorchester Center, MA 02124Get directions →

Provider Business Mailing Address Details

Address
20 Forest Hills St.
#2
Jamaica Plain, MA 02130
City
Jamaica Plain
State
MA
Zip
02130

License Information

License Number
56395
License State
MA
Taxonomy
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

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

Other Emergency Medicine providers near Dorchester Center, MA

View all Emergency Medicine providers in Dorchester Center →

Frequently Asked Questions

What is the NPI number of Glen J Sickorez, MD?

The NPI number of Glen J Sickorez, MD is 1861445736. It was assigned on May 19, 2006 and is currently active in the NPPES registry.

What is the specialty of Glen J Sickorez, MD?

Glen J Sickorez, MD is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MA under license number 56395.

Where does Glen J Sickorez, MD practice?

The practice location is 2100 Dorchester Ave, Dorchester Center, MA 02124-5615. The office can be reached at 617-296-4000 (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 1861445736 directly on the NPPES registry website.

Browse related providers