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Meredith Gardner, PA-C, LAT, ATC

Physician Assistant in Paramus, NJ. Individual provider (NPI-1).

NPI number1962945030
StatusActive
Last updated in NPPESNov 6, 2023

Details

NPI
1962945030
Entity type
Individual (NPI-1)
Name
Meredith Gardner
Credential
PA-C, LAT, ATC
Sex
Female
Sole proprietor
No
Enumeration date
Nov 22, 2016
Certification date
Nov 6, 2023
Last updated
Nov 6, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant25MP00639700NJYes
2255A2300X Specialist/Technologist, Athletic Trainer––
363A00000X Physician Assistant––

Other names

  • Meredith Fecskovics (Former Name)

Practice location

650 From Rd
Paramus, NJ 07652-3517

Phone 201-639-6620

Mailing address

3600 Route 66 Fl 3
Neptune, NJ 07753-2645

Phone 732-807-0877

Other practice locations

50 Craig Rd
Montvale, NJ 07645-1709

Phone 888-636-7840

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