DR. TRACIE PHAM GARDNER M.D. NPI 1912143835

NPI Information

NPI: 1912143835
Provider Name: DR. TRACIE PHAM GARDNER, M.D.
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

Address:
800 WASHINGTON ST
BOX #802
BOSTON, MA
ZIP 02111
Phone: (617) 636-1152
Get Directions

DR. Tracie Pham Gardner, M.D. is an anatomic pathology and clinical pathology pathology in Boston, MA. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. Tracie Pham Gardner, M.D. NPI is 1912143835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 WASHINGTON ST
BOX #802
BOSTON, MA
ZIP 02111-552
Phone: (617) 636-1152

The enumeration date for this NPI number is 12/23/2008 and was last updated on 10/24/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZN0500X	Pathology	Neuropathology	A110863	CALIFORNIA	No
2	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	R71171	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R71171	OTHER		TRAINING PERMIT
2	A110863	OTHER	CALIFORNIA	CALIFORNIA MEDICAL LICENSE

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: 11/14/2023

NPI Synchronization or Removal

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