Individual
ANDREW GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 E STATE ST STE 205, MEDIA, PA 19063-3434
(610) 565-2776
(610) 565-4247
Mailing address
200 E STATE ST STE 205, MEDIA, PA 19063-3434
(610) 565-2776
(610) 565-4247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA005088
PA
Other
Enumeration date
11/07/2019
Last updated
11/19/2019
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