Gardner Family Medicine, Inc.

NPI 1003011594 - Family Medicine - 207Q00000X

NPI Details
NPI 1003011594
Enumeration Date 06/15/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JENNIFER JENNIFER
Position PRESIDENT
Phone (978) 630-3862
Fax (978) 630-4176
Practice Location
57 CITY HALL AVE
GARDNER MA, 01440-2614, US
Phone (978) 630-3862
Fax (978) 630-4176
Business Location
57 CITY HALL AVE
GARDNER MA, 01440-2614, US
Phone (978) 630-3862
Fax (978) 630-4176
Toxanomy
Taxonomy Code 207Q00000X
License State Massachusetts
License Number 2141244
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According to our database, Gardner Family Medicine, Inc. NPI is 1003011594, taxonomy code is 207Q00000X and license number is 2141244, license state is located at Massachusetts. Gardner Family Medicine, Inc. physically located at 57 City Hall Ave, Gardner MA, 01440-2614. NPI Number 1033115704 has the healthcare provider type.

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1003011594 NPI number is provided on an as is basis without warranty of any kind. 1003011594 is maintained by the National Plan & Provider Enumeration System. The contents of Gardner Family Medicine, Inc. are for informational purposes only.