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Individual

CHRISTINE T GARDELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
12070 OLD LINE CTR, SUITE 302, WALDORF, MD 20602-2513
(301) 645-6667
(301) 870-9722
Mailing address
115 ROESLER RD, GLEN BURNIE, MD 21060-6519
(410) 766-8009
(410) 766-8022

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0004642
MD

Other

Enumeration date
12/08/2011
Last updated
08/18/2015
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