# GARDNER FAMILY MEDICINE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003011594
- **Authorized official:** JENNIFER RYAN DO (PRESIDENT)
- **Authorized official phone:** (978) 630-3862

## Contact information

- **Practice address:** 57 CITY HALL AVE, GARDNER, MA 01440-2614
- **Practice address phone:** (978) 630-3862
- **Practice address fax:** (978) 630-4176
- **Mailing address:** 57 CITY HALL AVE, GARDNER, MA 01440-2614
- **Mailing address phone:** (978) 630-3862
- **Mailing address fax:** (978) 630-4176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2141244 | MA | — |
| 363A00000X | Physician Assistant | 214124 | MA | Yes |

## Other

- **Enumeration date:** 06/15/2007
- **Last updated:** 09/11/2025