Individual
ADAM DOUGLAS GLADSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2110 DORCHESTER AVE, #203, DORCHESTER CENTER, MA 02124-5628
(617) 296-4951
(617) 298-7389
Mailing address
2110 DORCHESTER AVE, #203, DORCHESTER CENTER, MA 02124-5628
(617) 296-4951
(617) 298-7389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
158773
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110221
—
MA
01
—
0406652
UNITED HEALTH CARE
—
01
—
158773
TUFTS HEALTH PLAN ID
—
01
—
69869
HARVARD PILGRIM HEALTH CA
—
01
—
B10418301
CIGNA
—
01
—
J21732
BLUE CROSS BLUE SHEILD
—
Enumeration date
06/29/2006
Last updated
07/08/2007
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