Lawrence Gluck, MD is a
Radiology - Diagnostic Radiology physician based in Derby, Connecticut. Lawrence Gluck is licensed to practice in Connecticut (license number 017422) and his current practice location is 130 Division St, Derby, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(203) 735-8769.
NPI number for Lawrence Gluck is 1174518773 and his current mailing address is Po Box 8416, New Haven, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174518773.
Physician's Profile
| Full Name | Lawrence Gluck |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 130 Division St, Derby, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174518773
- Provider Enumeration Date: 09/20/2005
- Last Update Date: 07/30/2007
Medical Identifiers
Medical identifiers for Lawrence Gluck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174518773 | NPI | - | NPPES |
| 1174226 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 017422 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lawrence Gluck is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Lawrence Gluck, MD
Po Box 8416,
New Haven, CT 06530-0416
Ph: (203) 777-6209 | Lawrence Gluck, MD
130 Division St,
Derby, CT 06418-1326
Ph: (203) 735-8769 |
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