Gardner, James

Gardner, James is an sole proprietor health care provider with primary practice located at 20 York St , New Haven CT 06510-3220. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gardner, James can be contacted via phone (203) 688-4242.

Contact Information

Primary practice address
20 York St New Haven CT 06510-3220
Phone: (203) 688-4242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 65397 Connecticut

Profile Details

NPI number 1417361627
LBN Legal business name Gardner, James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2014
Last updated Jun 23rd, 2020 - about 4 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 1417361627 NPPES
Connecticut Other 65397 CONNECTICUT STATE MEDICAL LICENSE

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