Individual
GWENDOLYN GLADSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9 BUZELL AVE, EXETER, NH 03833-2520
(603) 772-8900
(603) 772-0468
Mailing address
PO BOX 655, EXETER, NH 03833-0655
(603) 772-8900
(603) 772-0468
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5917
NH
2080A0000X
Pediatric Adolescent Medicine Physician
5917
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000846
—
NH
Enumeration date
03/17/2006
Last updated
04/14/2010
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