Organization
GLADWYN D. BAPTIST, MD, PA
Active
Organization
GLADWYN D. BAPTIST, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLADWYN D BAPTIST MD (MEDICAL DOCTOR)
(856) 455-2222
Entity
Organization
Contact information
Practice address
10 MAGNOLIA AVE, SUITE F, BRIDGETON, NJ 08302-1760
(856) 455-2222
(856) 455-6541
Mailing address
10 MAGNOLIA AVE, SUITE F, BRIDGETON, NJ 08302-1760
(856) 455-2222
(856) 455-6541
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA03666500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3711200
—
NJ
Enumeration date
06/12/2007
Last updated
06/11/2012
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