Individual
DR. JAY ROBERT GLADSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
626 CHESTNUT ST, UNION, NJ 07083-9301
(908) 688-1039
(908) 688-1041
Mailing address
626 CHESTNUT ST, UNION, NJ 07083-9301
(908) 688-1039
(908) 688-1041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8637
NJ
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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