Provider Demographics
NPI:1164795134
Name:GARDLER, JANICE (MS, RDN,LDN)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:
Last Name:GARDLER
Suffix:
Gender:F
Credentials:MS, RDN,LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 BROAD VIEW RD
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1915
Mailing Address - Country:US
Mailing Address - Phone:248-320-2162
Mailing Address - Fax:
Practice Address - Street 1:703 BROAD VIEW RD
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1915
Practice Address - Country:US
Practice Address - Phone:248-320-2162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-21
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered