Gardner, Benjamin John

Gardner, Benjamin John is an individual health care provider with primary practice located at 8322 Bellona Ave Suite 100, Towson MD 21204-2065. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Gardner, Benjamin John can be contacted via phone (410) 337-7900.

Contact Information

Primary practice address
8322 Bellona Ave Suite 100 Towson MD 21204-2065
Phone: (410) 337-7900
Fax: (410) 337-5321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0005516 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X C0005516 Maryland

Profile Details

NPI number 1790186922
LBN Legal business name Gardner, Benjamin John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2014
Last updated Sep 8th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790186922 NPPES
Maryland Other C0005516 PA-C LICENSE

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