Active NPIIndividual provider

Dr. Tina M Gardner, MD

Family Medicine in Norwalk, Connecticut

NPI Number1629050281
Practice location
34 Maple St, Norwalk, CT 06850-3894
Fax
—
Last updated
October 21, 2021

Tina Marie Gardner is a Family Medicine based in Norwalk, CT. Tina Marie Gardner practices in Norwalk, CT and has the professional credentials of MD. The NPI Number for Tina Marie Gardner is 1629050281 and holds a License No. 185132 (NY). The current practice location address for Tina Marie Gardner is 34 Maple St, Norwalk, CT 06850-3894 and can be reached out via phone at 203-852-2000.

Provider Profile Details

NPI Number
1629050281
Provider Name
Tina Marie Gardner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
34 Maple St, Norwalk, CT 06850-3894
Phone Number
203-852-2000
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
November 18, 2005
Last Update Date
October 21, 2021
Certification Date
October 21, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
34 Maple St
Norwalk, CT 06850-3894
Zip
06850-3894
Phone Number
203-852-2000
Norwalk, CT 06850Get directions →

Provider Business Mailing Address Details

Address
461 Cherry Brook RD
Canton, CT 06019-4517
City
Canton
State
CT
Zip
06019-4517
Phone Number
845-527-8854

License Information

License Number (1)
185132
License State (1)
NY
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
57109
License State (2)
CT
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Tina M Gardner, MD?

The NPI number of Dr. Tina M Gardner, MD is 1629050281. It was assigned on November 18, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Tina M Gardner, MD?

Dr. Tina M Gardner, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 185132.

Where does Dr. Tina M Gardner, MD practice?

The practice location is 34 Maple St, Norwalk, CT 06850-3894. The office can be reached at 203-852-2000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629050281 directly on the NPPES registry website.

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