Canton Geriatrics Pllc
NPI #1912532953 in Canton, Connecticut
Provider Information
- NPI Number
- 1912532953
- Entity Type
- Organization
- Organization Name
- Canton Geriatrics Pllc
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Mar 10, 2020
- Last Updated
- Mar 10, 2020
Practice Location
- Address
- 461 CHERRY BROOK ROAD
- City
- Canton
- State
- Connecticut
- ZIP Code
- 06019
- Phone
- (845) 527-8854
Authorized Official
- Name
- DR. TINA MARIE GARDNER, M.D.
- Title
- PHYSICIAN/OWNER
- Phone
- (845) 527-8854
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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