Peter Gardner is a Specialist in Stamford, Connecticut. Peter Gardner practices all healthcare services and medical treatments related to Specialist. The NPI Number for Peter Gardner is 1972590578. The last update date is 2016-03-21.
Peter Gardner's current location address is 92 Jordan Lane, Stamford, Connecticut. You can contact this provider via phone number 2039402995 and fax number 2035476194. The mailing address for Peter Gardner is 92 Jordan Lane, Stamford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Gardner |
|---|---|
| Address | 92 Jordan Lane, Stamford, Connecticut |
| Phone Number | 2039402995 |
| Fax Number | 2035476194 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1972590578 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2016-03-21 |
Provider Mailing Address Detail
| Address | 92 Jordan Lane |
|---|---|
| City | Stamford |
| State | Connecticut (CT) |
| Post Code | 6903 |
| Phone Number | 2039402995 |
| Fax Number | 2035476194 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 24317 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 010027907CT01 | BC/BS ID # | ||
| 25013 | OXFORD ID # | ||
| 61246885 | UNITED HEATLHCARE ID # | ||
| 4125202 | AETNA | ||
| 20183 | HEALTHNET ID # | ||
| 24317 | CT CARE ID # |
Post Comment/ Review Below
What is the Peter Gardner's 1972590578?
The Peter Gardner's NPI (National Provider Identifier) Number is 1972590578. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Peter Gardner is located?
The Peter Gardner is situated at the following address: 92 Jordan Lane, Stamford, CT, 6903.
What is Peter Gardner's area of expertise and its corresponding taxonomy classification?
The Peter Gardner's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1972590578 to Peter Gardner?
The Peter Gardner received its 1972590578 assignment from the Centers for Medicare & Medicaid Services on 2005-09-29.
When was the information related to Peter Gardner most recently updated or refreshed?
The details pertaining to the Peter Gardner, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-03-21.