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Contact Information

MOLLIE C GARDNER
1900 LAFAYETTE RD STE A
PORTSMOUTH, NH03801-5679
 Phone: 603-431-1121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MOLLIE C GARDNER · (Female)

NPI # 1235918368
Status Active
Credentials
Entity Individual
Enumeration date 09/27/2023
Last updated 05/06/2026 - About a month ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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