Provider Demographics
NPI:1093933657
Name:QUARTON, GARDNER C JR (MD)
Entity Type:Individual
Prefix:DR
First Name:GARDNER
Middle Name:C
Last Name:QUARTON
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4520 KUKUI ST STE 101
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-1770
Mailing Address - Country:US
Mailing Address - Phone:808-821-2707
Mailing Address - Fax:808-821-2803
Practice Address - Street 1:4520 KUKUI ST STE 101
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-1770
Practice Address - Country:US
Practice Address - Phone:808-821-2707
Practice Address - Fax:808-821-2803
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HI4940207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIC-1682-8OtherHMSA
0000BFBVMMedicare ID - Type Unspecified
HIC98897Medicare UPIN