Baptist, Gladwyn D

Baptist, Gladwyn D is an individual health care provider with primary practice located at 10 Magnolia Ave Suite F, Bridgeton NJ 08302-1760. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Baptist, Gladwyn D can be contacted via phone (856) 455-2222.

Contact Information

Primary practice address
10 Magnolia Ave Suite F Bridgeton NJ 08302-1760
Fax: (856) 455-6541
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA03666500 New Jersey

Profile Details

NPI number 1255390944
LBN Legal business name Baptist, Gladwyn D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jan 10th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255390944 NPPES
New Jersey MEDICAID 3711200

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