Individual
ULYSSES GRANT GARDNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
401 N BROADWAY ST STE 1440, BALTIMORE, MD 21287-0019
(410) 955-7390
Mailing address
401 N BROADWAY ST STE 1440, BALTIMORE, MD 21287-0019
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
W4471
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/09/2020
Last updated
04/01/2026
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