Organization
AVANGUARD MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK GLADSTEIN MD (DIRECTOR)
(718) 382-7900
Entity
Organization
Contact information
Practice address
2076 E 13TH ST, BROOKLYN, NY 11229-3304
(718) 382-7909
(718) 382-7912
Mailing address
2076 E 13TH ST, BROOKLYN, NY 11229-3304
(718) 382-7909
(718) 382-7912
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
205366
NY
Other
Enumeration date
10/31/2006
Last updated
10/19/2007
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