person
Benjamin John Gardner, PA-C
Surgical Physician Assistant in Towson, Maryland
NPI 1790186922

Benjamin John Gardner is a Surgical Physician Assistant based in Towson, MD and is specialized in Surgical. Benjamin John Gardner practices in Towson, MD and has the professional credentials of PA-C. The NPI Number for Benjamin John Gardner is 1790186922 and holds a License No. C0005516 (Maryland).

The current practice location address for Benjamin John Gardner is 8322 Bellona Ave, Towson, MD and can be reached out via phone at 410-337-7900 and via fax at 410-337-5321. You can also correspond with Benjamin John Gardner through the mailing address at 8322 BELLONA AVE, TOWSON, MD - 21204-2065 (mailing address contact number: 410-337-7900).

Location: 8322 Bellona Ave, Towson, MD, 21204-2065
person
Provider Profile Details
NPI Number
1790186922
Provider Name
Benjamin John Gardner
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
8322 Bellona Ave, Towson, MD, 21204-2065
Phone Number
410-337-7900
Fax Number
410-337-5321
Provider Enumeration Date
09/08/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C0005516 01 MD PA-C LICENSE
institution
Provider Business Practice Location Address Details
Address
8322 Bellona Ave
City
State
Zip
21204-2065
Phone Number
410-337-7900
Fax Number
410-337-5321
person
Provider Business Mailing Address Details
Address
8322 Bellona Ave
City
State
Zip
21204-2065
Phone Number
410-337-7900
Fax Number
410-337-5321
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
C0005516 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
C0005516 (Maryland)
Definition
Definition to come...
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