Individual provider · Type 1 NPI

Matthew Gladle

Driver · Ogdensburg, NY

NPI number 1508295254 Active

Practice location

805 Caroline St
Ogdensburg, NY 13669-3303

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X445524456 (NY)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1508295254

Matthew Gladle's National Provider Identifier is 1508295254, issued on Nov 4, 2013. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Ogdensburg, NY. The record was last updated on Nov 4, 2013.