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
Phone: (732) 247-7444
Fax: (732) 247-5119
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548266265 | NPPES |
New Jersey | MEDICAID | 65850001 |
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