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Contact Information

JONATHAN D GARDNER, MD
23208 PEACH TREE RD
CLARKSBURG, MD20871-9125
 Phone: 678-458-3564
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Advanced Heart Failure & Transplant Cardiology

207RA0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JONATHAN D GARDNER · (Male)

NPI Number 1639490840
Status Active
Credentials MD
Entity Individual
Enumeration date 06/22/2010
Last updated 05/26/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D0088104
Hospital affiliation(s)
  • FREDERICK MEMORIAL HOSPITAL - (Acute Care)
    400 WEST SEVENTH ST
    FREDERICK, MD 21701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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