Gardner, Peter

Gardner, Peter is an sole proprietor health care provider with primary practice located at 92 Jordan Ln , Stamford CT 06903-3914. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Gardner, Peter can be contacted via phone (203) 940-2995.

Contact Information

Primary practice address
92 Jordan Ln Stamford CT 06903-3914
Phone: (203) 940-2995
Fax: (203) 547-6194
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 024317 Connecticut

Profile Details

NPI number 1972590578
LBN Legal business name Gardner, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2005
Last updated Mar 21st, 2016 - about 9 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 1972590578 NPPES
Other 010027907CT01 BC/BS ID #
Other 25013 BC/BS ID #
Other 061246885 BC/BS ID #
Other 4125202 BC/BS ID #
Other 020183 BC/BS ID #
Other 024317 BC/BS ID #

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