Gladstein, Jack

Gladstein, Jack is an individual health care provider with primary practice located at 22 S Greene St , Baltimore MD 21201-1544. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Gladstein, Jack can be contacted via phone (410) 328-6749.

Contact Information

Primary practice address
22 S Greene St Baltimore MD 21201-1544
Phone: (410) 328-6749
Fax: (410) 328-6136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X D34944 Maryland
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X D34944 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D34944 Maryland

Profile Details

NPI number 1508870551
LBN Legal business name Gladstein, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 2nd, 2017 - about 7 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 1508870551 NPPES
Maryland MEDICAID 479431100

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