Active NPIIndividual providerSole proprietor

Peter Gardner, MD

Specialist in Stamford, Connecticut

NPI Number1972590578
Practice location
92 Jordan Ln, Stamford, CT 06903-3914
Fax
203-547-6194
Last updated
March 21, 2016

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 (CT). The current practice location address for Peter Gardner is 92 Jordan Ln, Stamford, CT 06903-3914 and can be reached out via phone at 203-940-2995 and via fax at 203-547-6194.

Provider Profile Details

NPI Number
1972590578
Provider Name
Peter Gardner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
92 Jordan Ln, Stamford, CT 06903-3914
Phone Number
203-940-2995
Fax Number
203-547-6194
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
September 29, 2005
Last Update Date
March 21, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
92 Jordan Ln
Stamford, CT 06903-3914
Zip
06903-3914
Phone Number
203-940-2995
Fax Number
203-547-6194
Stamford, CT 06903Get directions →

Provider Business Mailing Address Details

Address
92 Jordan Lane
Stamford, CT 06903
City
Stamford
State
CT
Zip
06903
Phone Number
203-940-2995
Fax Number
203-547-6194

License Information

License Number
024317
License State
CT
Taxonomy
Specialist · 174400000X · 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 Peter Gardner, MD?

The NPI number of Peter Gardner, MD is 1972590578. It was assigned on September 29, 2005 and is currently active in the NPPES registry.

What is the specialty of Peter Gardner, MD?

Peter Gardner, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in CT under license number 024317.

Where does Peter Gardner, MD practice?

The practice location is 92 Jordan Ln, Stamford, CT 06903-3914. The office can be reached at 203-940-2995 (phone) or 203-547-6194 (fax).

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 1972590578 directly on the NPPES registry website.

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