Dr. Jonathan David Gardner
Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
12070 Old Line Ctr Ste 303
Waldorf
, Maryland 20602-3535
Dr. Jonathan David Gardner
Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
12070 Old Line Ctr Ste 303
Waldorf
, Maryland 20602-3535
(301) 645-5100
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About
Features
Specialties
- Advanced Heart Failure and Transplant Cardiologist
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Jonathan David Gardner
- 12070 Old Line Ctr Ste 303
- Waldorf, MD
- Zip : 20602-3535
- Phone : (301) 645-5100
Second Address
- Dr. Jonathan David Gardner
- 12070 Old Line Ctr Ste 303
- Waldorf, MD
- Zip : 20602-3535
- Phone : (301) 645-5100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | D0088104 | MD |
| Y | 207RC0000X | Internist - Cardiovascular Disease | D0088104 | MD |
National Provider Identifier
| NPI | 1639490840 |
|---|---|
| Provider Name | Dr. Jonathan David Gardner |
| First Address | Waldorf, MD 20602-3535 |
| Second Address | Waldorf, MD 20602-3535 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2010 |
| Last Update Date | 26/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.