Individual
ROBERT GARDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
502 CENTENNIAL BLVD, SUITE 5, VOORHEES, NJ 08043
(856) 429-8030
(856) 428-2718
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 762-1751
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
25MA04975100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0332909
—
NJ
Enumeration date
08/09/2005
Last updated
08/23/2018
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