Individual
DR. CLIFFORD D GLADSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 VERONICA AVE, SUITE 101, SOMERSET, NJ 08873-5002
(732) 247-7444
(732) 247-5119
Mailing address
75 VERONICA AVE, SUITE 101, SOMERSET, NJ 08873-5002
(732) 247-7444
(732) 247-5119
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA62025
NJ
207UN0901X
Nuclear Cardiology Physician
25MA06202500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65850001
—
NJ
Enumeration date
06/27/2005
Last updated
03/13/2017
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