Individual
JOSEPH GERARD GLEESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8010 FROST ST, SUITE 510, SAN DIEGO, CA 92123-2778
(858) 966-5819
Mailing address
3860 CALLE FORTUNADA, SUITE 210, SAN DIEGO, CA 92123-4800
(858) 309-6303
(858) 309-6301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G85292
CA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
G85292
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G852920
—
CA
Enumeration date
11/13/2006
Last updated
09/19/2011
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