Gladstone, Gwendolyn

Gladstone, Gwendolyn is an individual health care provider with primary practice located at 9 Buzell Ave , Exeter NH 03833-2520. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Gladstone, Gwendolyn can be contacted via phone (603) 772-8900.

Contact Information

Primary practice address
9 Buzell Ave Exeter NH 03833-2520
Fax: (603) 772-0468
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5917 New Hampshire
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 5917 New Hampshire

Profile Details

NPI number 1265491443
LBN Legal business name Gladstone, Gwendolyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Apr 14th, 2010 - about 15 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 1265491443 NPPES
New Hampshire MEDICAID 00000846

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