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Individual

JACLYN L GLADSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06106-5037
(860) 972-5022
(860) 545-3266
Mailing address
80 SEYMOUR STREET, HARTFORD HOSPITAL SURGERY DEPT, HARTFORD, CT 06106-5037
(860) 972-5022
(860) 545-3266

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8366
MA
363A00000X
Physician Assistant
363AS0400X
Surgical Physician Assistant
4142
CT

Other

Enumeration date
05/29/2018
Last updated
11/03/2021
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