Individual
DR. BETH C. GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 JAMESTOWN ST, SUITE 101, PHILADELPHIA, PA 19128-1751
(215) 463-1483
(215) 483-9185
Mailing address
525 JAMESTOWN ST, SUITE 101, PHILADELPHIA, PA 19128-1751
(215) 463-1483
(215) 483-9185
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
25MA05624700
NJ
207RG0100X
Gastroenterology Physician
Primary
MD034274E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001675813
—
PA
05
—
4540107
—
NJ
Enumeration date
11/23/2005
Last updated
02/09/2017
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