Individual
ALFRED G GLADSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 GRAND ST, NEW BRITAIN, CT 06050
(860) 224-5556
Mailing address
PO BOX 217, 1 LIBERTY SQUARE, NEW BRITAIN, CT 06050-0217
(860) 827-0071
(860) 229-5642
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
025354
CT
2085R0204X
Vascular & Interventional Radiology Physician
025354
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001253541
—
CT
Enumeration date
12/28/2005
Last updated
06/22/2015
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