Gladstone, Gerald Charles
Gladstone, Gerald Charles is an sole proprietor health care provider with primary practice located at 10 Winthrop St , Worcester MA 01604-4435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Gladstone, Gerald Charles can be contacted via phone (508) 757-6330.Contact Information
Primary practice address
10 Winthrop St
Worcester MA 01604-4435
Phone: (508) 757-6330
Fax: (508) 792-6717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 43578 | Massachusetts |
Profile Details
| NPI number | 1366468357 |
|---|---|
| LBN Legal business name | Gladstone, Gerald Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Apr 16th, 2016 - about 9 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 | 1366468357 | NPPES |
| Massachusetts | Other | 711303 | TUFTS HEALTH PLAN |
| Massachusetts | Other | B11640 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 2071517 | TUFTS HEALTH PLAN |
| Massachusetts | Other | 4172 | TUFTS HEALTH PLAN |
| Massachusetts | Other | 4258 | TUFTS HEALTH PLAN |
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