Individual
MR. JAN M GLADSTONE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2400 BERGENLINE AVE, UNION CITY, NJ 07087-3610
(201) 867-0900
(201) 867-2352
Mailing address
2400 BERGENLINE AVE, UNION CITY, NJ 07087-3610
(201) 867-0900
(201) 867-2352
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI01362800
NJ
Other
Enumeration date
10/12/2005
Last updated
07/08/2007
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