Individual
JENNIFER GARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 COMMERCE DR, NORTHBRIDGE, MA 01534-1415
(508) 234-6311
(508) 234-4215
Mailing address
9 INDUSTRIAL RD, SUITE 5, MILFORD, MA 01757-3735
(508) 473-1480
(508) 473-1210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
253738
MA
208000000X
Pediatrics Physician
253738
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253738
LICENSE
MA
01
—
MD12626
LICENSE
RI
Enumeration date
04/19/2007
Last updated
12/12/2014
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