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Individual

DR. HOWARD M GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
27515
MA
207T00000X
Neurological Surgery Physician
4657
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00000072
NH
01
0003738
NHP
MA
01
0099421-001
CIGNA
MA
01
05-00256
EVERCARE
MA
01
06-00005
UHC
MA
01
12179
HPHC
MA
05
2092301
MA
01
23586
FCHP
MA
01
4475150
AETNA
MA
01
714454
THP
MA
01
D13191
BCBSMA
MA
Enumeration date
09/26/2005
Last updated
07/09/2007
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