Individual
ADAM DOUGLAS GLADSTONE
Active
Individual
ADAM DOUGLAS GLADSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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