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NPI Code Detail

MEDICARE: DR. JULIAN L GLADSTONE M.D.

MEDICARE:  DR. JULIAN L GLADSTONE  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease PhysicianMD011791EPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
8CF6196OTHERPARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
158229OTHERPAAETNA
2231718130OTHERPACIGNA
30031370000OTHERPAKEYSTONE
4231718130OTHERPAUNITED HEALTHCARE
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6231718130OTHERPATRICARE
7103792OTHERPABLUE SHIELD

General Provider Information

NPI Number : 1073517918
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIAN L GLADSTONE M.D.
Provider Business Mailing Address
First Line : 1999 SPROUL RD
Second Line : STE 21
City : BROOMALL
State : PA
Zip : 19008-3508
Country : US
Telephone Number : 610-353-6400
Fax Number : 610-356-1836
Provider Business Practice Location Address
First Line : 1999 SPROUL RD
Second Line : STE 21
City : BROOMALL
State : PA
Zip : 19008-3508
Country : US
Telephone Number : 610-353-6400
Fax Number : 610-356-1836
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 02/15/2016

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Directions to “ DR. JULIAN L GLADSTONE M.D.” Practice Location

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