Provider Demographics
NPI:1649944877
Name:GLOWACKI, ELIZABETH G
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:G
Last Name:GLOWACKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 WISCONSIN AVE NW APT 702
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2413
Mailing Address - Country:US
Mailing Address - Phone:301-758-2403
Mailing Address - Fax:
Practice Address - Street 1:2101 WISCONSIN AVE NW APT 702
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2413
Practice Address - Country:US
Practice Address - Phone:301-758-2403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program