Provider Demographics
NPI:1023156353
Name:GLIKSMAN, SARAH REBECCA (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:REBECCA
Last Name:GLIKSMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:REBECCA
Other - Last Name:GLIKSMAN DACHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1854
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20915-1854
Mailing Address - Country:US
Mailing Address - Phone:240-893-9149
Mailing Address - Fax:
Practice Address - Street 1:1121 UNIVERSITY BLVD W
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-3356
Practice Address - Country:US
Practice Address - Phone:240-893-9149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0035196207R00000X, 2083P0500X
VA0101235501207R00000X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine