Gardella, John E.
Gardella, John E. is an individual health care provider with primary practice located at 1500 Matthews Township Pkwy , Matthews NC 28105-4656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Gardella, John E. can be contacted via phone (704) 384-5416.Contact Information
Primary practice address
1500 Matthews Township Pkwy
Matthews NC 28105-4656
Phone: (704) 384-5416
Fax: (704) 384-5992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 23278 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 23278 | North Carolina |
Profile Details
| NPI number | 1780653717 |
|---|---|
| LBN Legal business name | Gardella, John E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Feb 13th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780653717 | NPPES |
| North Carolina | MEDICAID | 8934525 | |
| North Carolina | MEDICAID | 414474 |
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