Christine T Gardella PA-C

NPI 1538437223 - Physician Assistant - 363AM0700X

NPI Details
NPI 1538437223
Gender Female
Enumeration Date 12/08/2011
Last Updated 08/18/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
12070 OLD LINE CTR
SUITE 302
WALDORF MD, 20602-2513, US
Phone (301) 645-6667
Fax (301) 870-9722
Business Location
115 ROESLER RD
GLEN BURNIE MD, 21060-6519, US
Phone (410) 766-8009
Fax (301) 870-9722
Toxanomy
Taxonomy Code 363AM0700X
License State Maryland
License Number C0004642
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According to our database, Christine T Gardella PA-C NPI is 1538437223, taxonomy code is 363AM0700X and license number is C0004642, license state is located at Maryland. Christine T Gardella PA-C physically located at 12070 Old Line Ctr, Waldorf MD, 20602-2513. NPI Number Christine T Gardella PA-C has the Individual type.

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1538437223 NPI number is provided on an as is basis without warranty of any kind. 1538437223 is maintained by the National Plan & Provider Enumeration System. The contents of Christine T Gardella PA-C are for informational purposes only.