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CAROL J. GARDNER DO PC NPI 1720125313


NPI Information

NPI: 1720125313
Provider Name: CAROL J. GARDNER, DO PC
Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
905 ROOSEVELT HWY
SUITE 210
COLCHESTER, VT
ZIP 05446
Phone: (802) 879-6544
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CAROL J. GARDNER, DO PC is an adult medicine family medicine in Colchester, VT. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. CAROL J. GARDNER, DO PC NPI is 1720125313. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

905 ROOSEVELT HWY
SUITE 210
COLCHESTER, VT
ZIP 05446-475
Phone: (802) 879-6544
Fax: (802) 879-0022

The provider's authorized official is Carol J. Gardner .
The authorized official title is Physician and has the following contact phone number (802) 879-6544.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 11/16/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult Medicine032-000053VERMONTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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