Organization
CHOATE ROSEMARY HALL FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E. BENJAMIN GARDNER MD (DIRECTOR OF HEALTH SERVICES)
(203) 697-2203
Entity
Organization
Contact information
Practice address
333 CHRISTIAN STREET, WALLINGFORD, CT 06492
(203) 697-2203
(203) 697-2294
Mailing address
333 CHRISTIAN STREET, WALLINGFORD, CT 06492
(203) 697-2203
(203) 697-2294
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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