Carol J. Gardner, DO PC

Organization Active NPI Adult Medicine Physician · Colchester, VT

NPI 1720125313 · NPPES record last updated Nov 16, 2011

Key facts

NPI
1720125313
Entity type
Organization (NPI type 2)
Primary specialty
Adult Medicine Physician 207QA0505X
License
032-000053 (VT)
Legal business name
CAROL J. GARDNER, DO PC
Practice address
905 Roosevelt Hwy
Suite 210
Colchester, VT 05446-4475
Phone
(802) 879-6544
Fax
(802) 879-0022
NPI assigned
Jan 31, 2007
Organization subpart
No

Authorized official

Name
Carol J. Gardner, D.O.
Title
Physician
Phone
(802) 879-6544

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207QA0505X 032-000053 VT Yes

Addresses

Primary practice location

905 Roosevelt Hwy
Suite 210
Colchester, VT 05446-4475

Mailing address

905 Roosevelt Hwy
Suite 210
Colchester, VT 05446-4475
Phone (802) 879-6544

Other providers in Colchester, VT

All providers in Colchester, VT · Adult Medicine Physician in Vermont

Sources for this page

Verify at the official NPI Registry.