NPI 1720125313 · live from the CMS NPI Registry
Carol J. Gardner, DO PC
Family Medicine, Adult Medicine in Colchester, VT. National Provider Identifier 1720125313, active.
NPI record
| NPI | 1720125313 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Adult Medicine 207QA0505X |
| Practice location | 905 Roosevelt Hwy, Suite 210, Colchester, VT 05446 |
| Practice phone | 802-879-6544 |
| Enumerated | January 31, 2007 |
| Last updated | November 16, 2011 |
| Authorized official | Carol Gardner, Physician |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Adult Medicine primary | 207QA0505X | 032-000053 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.