Gladstone, Adam Douglas

Gladstone, Adam Douglas is an individual health care provider with primary practice located at 2110 Dorchester Ave #203, Dorchester Center MA 02124-5628. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gladstone, Adam Douglas can be contacted via phone (617) 296-4951.

Contact Information

Primary practice address
2110 Dorchester Ave #203 Dorchester Center MA 02124-5628
Phone: (617) 296-4951
Fax: (617) 298-7389
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 158773 Massachusetts

Profile Details

NPI number 1437187283
LBN Legal business name Gladstone, Adam Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 8th, 2007 - about 18 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 1437187283 NPPES
Other J21732 BLUE CROSS BLUE SHEILD
Other 0406652 BLUE CROSS BLUE SHEILD
Other 69869 BLUE CROSS BLUE SHEILD
MEDICAID 0110221 BLUE CROSS BLUE SHEILD
Other B10418301 BLUE CROSS BLUE SHEILD
Other 158773 BLUE CROSS BLUE SHEILD

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