Gladstein, Geoffrey S.

Gladstein, Geoffrey S. is an individual health care provider with primary practice located at 5520 Park Ave , Trumbull CT 06611-3463. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Gladstein, Geoffrey S. can be contacted via phone (203) 371-5873.

Contact Information

Primary practice address
5520 Park Ave Trumbull CT 06611-3463
Phone: (203) 371-5873
Fax: (203) 371-5874
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 020015 Connecticut
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 020015 Connecticut

Profile Details

NPI number 1427060938
LBN Legal business name Gladstein, Geoffrey S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated May 31st, 2013 - 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 1427060938 NPPES
Connecticut MEDICAID 001200153

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