Individual
DR. TINA MARIE GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3894
(203) 852-2000
Mailing address
461 CHERRY BROOK RD, CANTON, CT 06019-4517
(845) 527-8854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
185132
NY
207Q00000X
Family Medicine Physician
Primary
57109
CT
Other
Enumeration date
11/18/2005
Last updated
10/21/2021
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