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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TRACIE PHAM GARDNER, M.D.

Active

DR. TRACIE PHAM GARDNER, M.D. is a Anatomic Pathology & Clinical Pathology healthcare provider located in BOSTON, Massachusetts. NPI 1912143835 is currently active in the NPPES registry. Verify at CMS.

Anatomic Pathology & Clinical Pathology · BOSTON, MA

Registration Details

NPI Number
1912143835
Provider Type
Individual
Gender
Female
NPI Issued
Dec 23, 2008 (17.454609903604 yrs)
Last Updated
Oct 24, 2012
Licenses
R71171 (AZ)
A110863 (CA)

Practice Information

Address
800 WASHINGTON ST
BOX #802
BOSTON, MA, 021111552
Browse MA providers · Browse ZIP 02111
Phone
6176361152
Primary Specialty
Anatomic Pathology & Clinical Pathology
207ZP0102X
Additional Specialty
Neuropathology

Other Anatomic Pathology & Clinical Pathology Providers in BOSTON, MA

Name Credential NPI
DR. MARYJANE ZIMAROWSKI 1417954595
DR. JONATHAN L HECHT MD, PHD 1386632024
DR. RAAVI GUPTA M.D. 1760471627
DR. GAIL RAE ZIMMERMANN WOLFE MD 1205825734
DR. KENT BALANIS LEWANDROWSKI MD 1609866516
DR. W STEPHEN BLACK-SCHAFFER MD 1841280492
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.