| Doctor Name: | LEONARD GARY GLADSTONE |
| NPI Number: | 1376670729 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | MD016541E |
| Business Practice Address: | 1263 Georgia Ln Hatfield, PA - 194403227 |
| Business Phone Number: | 2158081212 |
| Business Fax Number: | 2158551048 |
| Mailing Address: | 1263 Georgia Ln, HATFIELD |
| State: | PA |
| Postal Code: | 194403227 |
| Phone Number: | 2158081212 |
| Fax Number: | 2158551048 |
| NPI Enumeration Date: | 02/27/2007 |
| NPI Last Update Date: | 10/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | MD016541E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |