Individual
DR. ELLIS BENJAMIN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD FAAP
Contact information
Practice address
18 ROBERTS RD, CANAAN, NH 03741-7644
(603) 934-1464
Mailing address
43 CALEB DYER LN, MASCOMA COMMUNITY HEALTHCARE, INC., ENFIELD, NH 03748-3551
(802) 673-5340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10330
NH
208000000X
Pediatrics Physician
037734
CT
208000000X
Pediatrics Physician
10330
NH
Other
Enumeration date
07/05/2006
Last updated
12/08/2025
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