Organization
CANTON GERIATRICS PLLC
Active
Organization
CANTON GERIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA MARIE GARDNER M.D. (PHYSICIAN/OWNER)
(845) 527-8854
Entity
Organization
Contact information
Practice address
461 CHERRY BROOK ROAD, CANTON, CT 06019
(845) 527-8854
Mailing address
461 CHERRY BROOK ROAD, CANTON, CT 06019
(845) 527-8854
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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