Provider Demographics
NPI:1710938337
Name:GLISTER, BABETTE CARLSON (MD)
Entity Type:Individual
Prefix:DR
First Name:BABETTE
Middle Name:CARLSON
Last Name:GLISTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:BABETTE
Other - Middle Name:TINGTING
Other - Last Name:CARLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8901 WISCONSIN AVE
Mailing Address - Street 2:ENDOCRINOLOGY CLINIC, BLDG. 9, NATIONAL NAVAL MEDICAL
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-295-5165
Mailing Address - Fax:301-295-5170
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:ENDOCRINOLOGY CLINIC, BLDG. 9, NATIONAL NAVAL MEDICAL
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-5165
Practice Address - Fax:301-295-5170
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01052437A207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism