Organization
MARPLE MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIAN GLADSTONE M.D. (PRESIDENT)
(610) 353-6400
Entity
Organization
Contact information
Practice address
1999 SPROUL RD, STE21, BROOMALL, PA 19008-3508
(610) 353-6400
(610) 353-3420
Mailing address
1999 SPROUL RD, STE21, BROOMALL, PA 19008-3508
(610) 353-6400
(610) 353-3420
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007335830003
—
PA
01
—
0031381000
KEYSTONE
PA
01
—
131926
BLUE SHIELD
PA
01
—
58229
AETNA
PA
Enumeration date
04/05/2006
Last updated
01/23/2008
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