KRISTEN M GLICK

BRIDGEPORT, CT
NPI1760635080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  2772)
Additional Taxonomies363A00000X Physician Assistant
(Licence: NY  012938)
Enumeration Date2008-10-30
Last Update Date2014-08-28
Business Address
-- KRISTEN M GLICK PA
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3693
Mailing Address
-- KRISTEN M GLICK PA
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3693