Individual
PETER GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
92 JORDAN LN, STAMFORD, CT 06903-3914
(203) 940-2995
(203) 547-6194
Mailing address
92 JORDAN LANE, STAMFORD, CT 06903
(203) 940-2995
(203) 547-6194
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
024317
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010027907CT01
BC/BS ID #
—
01
—
020183
HEALTHNET ID #
—
01
—
024317
CT CARE ID #
—
01
—
061246885
UNITED HEATLHCARE ID #
—
01
—
25013
OXFORD ID #
—
01
—
4125202
AETNA
—
Enumeration date
09/29/2005
Last updated
03/21/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us