Individual
DR. PAUL BRENDAN GLADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-2177
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
(904) 244-3660
(904) 244-3425
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME91940
FL
207XX0801X
Orthopaedic Trauma Physician
Primary
MD.202809
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1923567
—
LA
Enumeration date
03/29/2006
Last updated
06/14/2021
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