Individual provider · Type 1 NPI

Benjamin John Gardner, PA-C

Medical Physician Assistant · Towson, MD

NPI number 1790186922 Active

Practice location

8322 Bellona Ave, Suite 100
Towson, MD 21204-2065

Call (410) 337-7900 Map

Fax (410) 337-5321

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XC0005516 (MD)
Surgical Physician Assistant 363AS0400XC0005516 (MD)

Medical Physician Assistant: Definition to come...

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About NPI 1790186922

Benjamin John Gardner, PA-C's National Provider Identifier is 1790186922, issued on Sep 8, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Towson, MD. The record was last updated on Sep 8, 2014.