person
Peter Gardner, MD
Specialist in Stamford, Connecticut
NPI 1972590578

Peter Gardner is a Specialist based in Stamford, CT. Peter Gardner practices in Stamford, CT and has the professional credentials of MD. The NPI Number for Peter Gardner is 1972590578 and holds a License No. 024317 (Connecticut).

The current practice location address for Peter Gardner is 92 Jordan Ln, Stamford, CT and can be reached out via phone at 203-940-2995 and via fax at 203-547-6194. You can also correspond with Peter Gardner through the mailing address at 92 JORDAN LANE, STAMFORD, CT - 06903 (mailing address contact number: 203-940-2995).

Location: 92 Jordan Ln, Stamford, CT, 06903
person
Provider Profile Details
NPI Number
1972590578
Provider Name
Peter Gardner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
92 Jordan Ln, Stamford, CT, 06903
Phone Number
203-940-2995
Fax Number
203-547-6194
Provider Enumeration Date
09/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010027907CT01 01 BC/BS ID #
25013 01 OXFORD ID #
061246885 01 UNITED HEATLHCARE ID #
4125202 01 AETNA
020183 01 HEALTHNET ID #
024317 01 CT CARE ID #
institution
Provider Business Practice Location Address Details
Address
92 Jordan Ln
City
State
Zip
06903-3914
Phone Number
203-940-2995
Fax Number
203-547-6194
person
Provider Business Mailing Address Details
Address
92 Jordan Lane
City
State
Zip
06903
Phone Number
203-940-2995
Fax Number
203-547-6194
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
024317 (Connecticut)
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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