Individual
DR. ALLAN LEE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 BEAUVOIR AVE, SUITE 405, SUMMIT, NJ 07901-3533
(973) 723-8436
Mailing address
7 BAYBERRY LN, BELMONT, MA 02478-1050
(973) 723-8436
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MA026475
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151203
—
NJ
Enumeration date
05/16/2006
Last updated
03/19/2010
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