Organization
GARDNER EYE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FOTIOS N GANIAS MD (PRESIDENT)
(978) 632-7626
Entity
Organization
Contact information
Practice address
250 GREEN ST, SUITE 106, GARDNER, MA 01440
(978) 632-7626
(978) 632-0227
Mailing address
250 GREEN ST, SUITE 106, GARDNER, MA 01440
(978) 632-7626
(978) 632-0227
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36819
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019698
—
MA
Enumeration date
02/13/2008
Last updated
02/13/2008
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