Individual
MEREDITH GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, LAT, ATC
Contact information
Practice address
650 FROM RD, PARAMUS, NJ 07652-3517
(201) 639-6620
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
(732) 807-0877
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
25MP00639700
NJ
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/22/2016
Last updated
11/06/2023
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