Provider Demographics
NPI:1376812909
Name:GARDINER, MARGARITA HAUSER (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:HAUSER
Last Name:GARDINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8512 PARKWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19128-1309
Mailing Address - Country:US
Mailing Address - Phone:215-508-0765
Mailing Address - Fax:215-508-0764
Practice Address - Street 1:8512 PARKWOOD LN
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-1309
Practice Address - Country:US
Practice Address - Phone:215-508-0765
Practice Address - Fax:215-508-0764
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD037949E207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine