| Samuel Gladstone, Md | |
|
12 Dickinson St Amherst MA 01002-2310 | |
| (413) 253-2300 | |
| (413) 256-0464 |
| Full Name | Samuel Gladstone, Md |
|---|---|
| Speciality | Family Medicine |
| Location | 12 Dickinson St, Amherst, Massachusetts |
| Authorized Official Name and Position | Samuel Gladstone (PHYSICIAN OWNER) |
| Authorized Official Contact | 4132532300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Gladstone, Md 12 Dickinson St Amherst MA 01002-2310 Ph: (413) 253-2300 | Samuel Gladstone, Md 12 Dickinson St Amherst MA 01002-2310 Ph: (413) 253-2300 |
| NPI Number | 1659533552 |
|---|---|
| Provider Enumeration Date | 07/01/2008 |
| Last Update Date | 07/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659533552 | NPI | - | NPPES |
| 10248501 | Other | MA | CIGNA |
| 12640 | Other | MA | HEALTH NEW ENGLAND |
| 2358324 | Other | MA | AETNA |
| 706042 | Other | MA | CONNECTICARE |
| 720950 | Other | MA | TUFTS |
| 71777 | Other | MA | HARVARD PILGRIM |
| J06871 | Other | MA | BCBS |
| 222909447 | Other | MA | MULTIPLAN |
| 1293872 | Other | MA | FALLON |
| 000000007610 | Other | BMC | |
| 3029671 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 55035 (Massachusetts) | Primary |
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