Individual
DR. JULIAN L GLADSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1999 SPROUL RD, STE 21, BROOMALL, PA 19008-3508
(610) 353-6400
(610) 356-1836
Mailing address
1999 SPROUL RD, STE 21, BROOMALL, PA 19008-3508
(610) 353-6400
(610) 356-1836
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD011791E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007337610001
—
PA
01
—
0031370000
KEYSTONE
PA
01
—
103792
BLUE SHIELD
PA
01
—
231718130
CIGNA
PA
01
—
58229
AETNA
PA
01
—
CF6196
RAILROAD MEDICARE
PA
Enumeration date
06/09/2005
Last updated
02/15/2016
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