Dr. Ellis Benjamin Gardner, MDFAAP
Dr. Ellis Benjamin Gardner, MDFAAP is a Pediatric Medicine in Canaan, New Hampshire. Qualified in 1996, 30 years ago. Practices with Mascoma Community Healthcare Inc, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and New Hampshire.
- Years since qualifying
- 30
- Licensed in
- CT, NH
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
18 Roberts RdCanaan, NH 03741-7644
Phone: (603) 934-1464
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 43 Caleb Dyer Ln, Enfield, NH 03748-3551 — (802) 673-5340
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 10330 (NH) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X · Licence 10330 (NH) |
| Pediatrics Physician | Taxonomy 208000000X · Licence 037734 (CT) |
Record details
| NPI number | 1932130630 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MDFAAP |
| Sole proprietor | No |
| NPI enumerated | July 5, 2006 |
| Last updated in NPPES | December 8, 2025 |
| Certification date | December 8, 2025 |
Medicare enrollment
| Medicare specialty | PEDIATRIC MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 1996 (30 years in practice) |
| Group practice | Mascoma Community Healthcare Inc — 2 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |