Individual
DR. ELIZABETH CARPENTER GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 YORK ST, T-209, NEW HAVEN, CT 06510-3220
(203) 688-2259
(203) 688-5599
Mailing address
800 HOWARD AVE, 1ST FLOOR, NEW HAVEN, CT 06519-1369
(203) 747-4405
(203) 688-5599
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
051754
CT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
051754
CT
Other
Enumeration date
05/23/2008
Last updated
09/11/2013
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