Individual
JEFFREY W. GANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
LEE ST FL 4, CHARLOTTESVILLE, VA 22908-0816
(434) 924-2796
(434) 924-1238
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
242447
NY
2086S0120X
Pediatric Surgery Physician
Primary
0101256920
VA
Other
Enumeration date
07/04/2008
Last updated
10/02/2014
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