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NPI Code Detail

MEDICARE: STUART A. GARDNER MC, PC

MEDICARE: STUART A. GARDNER MC, PC
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
1207X00000XOrthopaedic Surgery PhysicianMD030836EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447383062
Entity Type Code : Organization
Provider Name (Legal Business Name) : STUART A. GARDNER MC, PC
Provider Business Mailing Address
First Line : 401 N JEFFERSON ST
Second Line :
City : NEW CASTLE
State : PA
Zip : 16101-2238
Country : US
Telephone Number : 724-652-5100
Fax Number : 724-652-5890
Provider Business Practice Location Address
First Line : 401 N JEFFERSON ST
Second Line :
City : NEW CASTLE
State : PA
Zip : 16101-2238
Country : US
Telephone Number : 724-652-5100
Fax Number : 724-652-5890
Authorized Official
Title or Position : PRESIDENT
Name : STUART ALEXANDER GARDNER
Credential : MD
Telephone Number : 724-652-5100
Provider Enumeration Date : 03/13/2007
Last Update Date : 08/22/2020

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