Gardner, Beth C.

Gardner, Beth C. is an individual health care provider with primary practice located at 525 Jamestown St Suite 101, Philadelphia PA 19128-1751. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Gardner, Beth C. can be contacted via phone (215) 463-1483.

Contact Information

Primary practice address
525 Jamestown St Suite 101 Philadelphia PA 19128-1751
Phone: (215) 463-1483
Fax: (215) 483-9185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MA05624700 New Jersey
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD034274E Pennsylvania

Profile Details

NPI number 1457334369
LBN Legal business name Gardner, Beth C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Feb 9th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457334369 NPPES
New Jersey MEDICAID 4540107
New Jersey MEDICAID 001675813

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