Individual
DR. JONATHAN DAVID GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23208 PEACH TREE RD, CLARKSBURG, MD 20871-9125
(678) 458-3564
Mailing address
23208 PEACH TREE RD, CLARKSBURG, MD 20871-9125
(678) 458-3564
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
D0088104
MD
207RC0000X
Cardiovascular Disease Physician
Primary
D0088104
MD
Other
Enumeration date
06/22/2010
Last updated
05/26/2023
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