Gardiner, Geoffrey A.

Gardiner, Geoffrey A. is an individual health care provider with primary practice located at 111 S 11Th St Suite 3390, Philadelphia PA 19107-4824. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gardiner, Geoffrey A. can be contacted via phone (215) 955-6226.

Contact Information

Primary practice address
111 S 11Th St Suite 3390 Philadelphia PA 19107-4824
Phone: (215) 955-6226
Fax: (215) 923-1562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD035855E Pennsylvania
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD035855E Pennsylvania

Profile Details

NPI number 1497854020
LBN Legal business name Gardiner, Geoffrey A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Mar 10th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497854020 NPPES
Pennsylvania MEDICAID 01048537

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