Individual
DR. GERALD CHARLES GLADSTONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 WINTHROP ST, WORCESTER, MA 01604-4435
(508) 757-6330
(508) 792-6717
Mailing address
10 WINTHROP ST, WORCESTER, MA 01604-4435
(508) 757-6330
(508) 792-6717
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
43578
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2071517
—
MA
01
—
4172
HARVARD PILGRIM HEALTH
MA
01
—
4258
FALLON HEALTH PLAN
MA
01
—
711303
TUFTS HEALTH PLAN
MA
01
—
B11640
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/14/2006
Last updated
04/16/2016
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