Gardner Family Medicine, Inc. in Gardner - Physician Assistant
Gardner Family Medicine, Inc. - NPI 1003011594
Gardner Family Medicine, Inc. is a Physician Assistant in Gardner, Massachusetts. Gardner Family Medicine, Inc. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gardner Family Medicine, Inc. is 1003011594. The last update date is 2020-08-22.
Gardner Family Medicine, Inc.'s current location address is 57 City Hall Ave, Gardner, Massachusetts. You can contact this provider via phone number 9786303862 and fax number 9786304176. The mailing address for Gardner Family Medicine, Inc. is 57 City Hall Ave, Gardner, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gardner Family Medicine, Inc. |
|---|---|
| Address | 57 City Hall Ave, Gardner, Massachusetts |
| Phone Number | 9786303862 |
| Fax Number | 9786304176 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ryan Jennifer |
| Credentials | DO |
| Telephone Number | 9786303862 |
NPI Number Detail
| NPI Number | 1003011594 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 57 City Hall Ave |
|---|---|
| City | Gardner |
| State | Massachusetts (MA) |
| Post Code | 14402614 |
| Phone Number | 9786303862 |
| Fax Number | 9786304176 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 214124 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Gardner Family Medicine, Inc.?
The Gardner Family Medicine, Inc. has been issued the NPI (National Provider Identifier) 1003011594 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Gardner Family Medicine, Inc.?
The Gardner Family Medicine, Inc. is physically situated at 57 City Hall Ave, in the city of Gardner, state of MA, with the postal code 14402614.
What is Gardner Family Medicine, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gardner Family Medicine, Inc. is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003011594 to Gardner Family Medicine, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1003011594 to Gardner Family Medicine, Inc. on 2007-06-15.
When was the information regarding Gardner Family Medicine, Inc. most recently updated?
The details pertaining to the Gardner Family Medicine, Inc., including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.