Gardner, Gregory Lee
Gardner, Gregory Lee is an individual health care provider with primary practice located at 133 Ornac , Concord MA 01742-4159. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Gardner, Gregory Lee can be contacted via phone (978) 287-3162.Contact Information
Primary practice address
133 Ornac
Concord MA 01742-4159
Phone: (978) 287-3162
Fax: (978) 287-3014
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 80837 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 80837 | Massachusetts |
Profile Details
| NPI number | 1801886916 |
|---|---|
| LBN Legal business name | Gardner, Gregory Lee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1801886916 | NPPES |
| Massachusetts | MEDICAID | 3137961 |
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