Individual provider · Type 1 NPI

James Gardner Iv, DO

Student in an Organized Health Care Education/Training Program · Jenkintown, PA

NPI number 1376483008 Active

Practice location

500 Old York Rd, #108
Jenkintown, PA 19046

Call (215) 481-2725 Map

Mailing address

119 E Mount Airy Ave Apt 5
Philadelphia, PA 19119-1719

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376483008

James Gardner Iv, DO's National Provider Identifier is 1376483008, issued on Mar 31, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jenkintown, PA. The record was last updated on Mar 31, 2026.