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NPI Code Detail

MEDICARE: CHRISTIE GARDNER AU.D.

MEDICARE:   CHRISTIE  GARDNER  AU.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist965MA

General Provider Information

NPI Number : 1972962850
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIE GARDNER AU.D.
Provider Business Mailing Address
First Line : 975 HIXVILLE RD
Second Line :
City : NORTH DARTMOUTH
State : MA
Zip : 02747-5329
Country : US
Telephone Number : 508-951-7434
Fax Number :
Provider Business Practice Location Address
First Line : 377 PLANTATION ST
Second Line :
City : WORCESTER
State : MA
Zip : 01605-2300
Country : US
Telephone Number : 508-951-7434
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2016
Last Update Date : 02/19/2016

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Directions to “ CHRISTIE GARDNER AU.D.” Practice Location

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