Individual
JAMES GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 OVERLOOK RD, SUITE 310, SUMMIT, NJ 07901-3563
(908) 918-1969
(908) 918-1995
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
25MA05373600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
764314
MEDICARE
NJ
Enumeration date
07/06/2006
Last updated
09/30/2016
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