Gladstone, Clifford D

Gladstone, Clifford D is an individual health care provider with primary practice located at 75 Veronica Ave Suite 101, Somerset NJ 08873-5002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Gladstone, Clifford D can be contacted via phone (732) 247-7444.

Contact Information

Primary practice address
75 Veronica Ave Suite 101 Somerset NJ 08873-5002
Fax: (732) 247-5119
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MA62025 New Jersey
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 25MA06202500 New Jersey

Profile Details

NPI number 1548266265
LBN Legal business name Gladstone, Clifford D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Mar 13th, 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 1548266265 NPPES
New Jersey MEDICAID 65850001

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