Individual
DR. DOUGLAS GLADSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 ORLEANS ST, CRB I , SUITE 287 - ONCOLOGY, BALTIMORE, MD 21287-0013
(443) 287-6471
(410) 955-8893
Mailing address
PO BOX 64474, BALTIMORE, MD 21264-4474
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
193432
NY
207RX0202X
Medical Oncology Physician
Primary
D50264
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034K1
EMPIRE BC.BS
NY
05
—
01581671
—
NY
05
—
264401100
—
MD
01
—
7844481
AETNA
NY
Enumeration date
07/14/2006
Last updated
04/16/2014
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