Individual
HOLLY ELIZABETH GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-0002
(413) 794-7873
(413) 794-1629
Mailing address
345 QUADDICK RD, THOMPSON, CT 06277-2912
(860) 942-7377
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
PA5302
MA
363A00000X
Physician Assistant
Primary
PA5302
MA
363AS0400X
Surgical Physician Assistant
PA5302
MA
Other
Enumeration date
04/07/2015
Last updated
03/10/2025
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