Julian L Gladstone in Broomall - Cardiovascular Disease

Julian L Gladstone - NPI 1073517918

Julian L Gladstone is a Cardiovascular Disease in Broomall, Pennsylvania. Julian L Gladstone practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Julian L Gladstone is 1073517918. The last update date is 2016-02-15.

Julian L Gladstone's current location address is 1999 Sproul Rd, Broomall, Pennsylvania. You can contact this provider via phone number 6103536400 and fax number 6103561836. The mailing address for Julian L Gladstone is 1999 Sproul Rd, Broomall, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Julian L Gladstone
Address 1999 Sproul Rd, Broomall, Pennsylvania
Phone Number 6103536400
Fax Number 6103561836
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1073517918
Provider Enumeration Date 2005-06-09
Last Updated Date 2016-02-15

Provider Mailing Address Detail

Address 1999 Sproul Rd
City Broomall
State Pennsylvania (PA)
Post Code 1900835080
Phone Number 6103536400
Fax Number 6103561836

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No MD011791E
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
58229 PA AETNA
231718130 PA CIGNA
31370000 PA KEYSTONE
231718130 PA UNITED HEALTHCARE
7337610001 PA --
231718130 PA TRICARE
103792 PA BLUE SHIELD
CF6196 PA RAILROAD MEDICARE

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FAQs about Julian L Gladstone

What is the unique identification code assigned to Julian L Gladstone by the Centers for Medicare & Medicaid Services?

The Julian L Gladstone has been issued the NPI (National Provider Identifier) 1073517918. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Julian L Gladstone?

The Julian L Gladstone is situated at 1999 Sproul Rd, in the city of Broomall, state of PA, with the zip code 1900835080.

What is Julian L Gladstone's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Julian L Gladstone is Cardiovascular Disease, and the taxonomy classification code that categorizes this area of expertise is 207Rc0000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1073517918 to Julian L Gladstone?

The Centers for Medicare & Medicaid Services assigned the 1073517918 to Julian L Gladstone on 2005-06-09.

When was the information related to Julian L Gladstone most recently updated or refreshed?

The details pertaining to the Julian L Gladstone, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-02-15.

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