Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Glenn Howard Pisk, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1114971066

Dr. Glenn Howard Pisk, MD is a Pediatric Adolescent Medicine Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2129 W Oregon Ave First Fl Rear
Philadelphia, PA 19145-4131
Phone: (215) 462-6106
Fax: (215) 462-5922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence MD0411084L (PA)

Record details

NPI number1114971066
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESJuly 11, 2013

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