Provider Demographics
NPI:1730372145
Name:GILARDINO, MIROSLAV SERGIO (MD)
Entity type:Individual
Prefix:DR
First Name:MIROSLAV
Middle Name:SERGIO
Last Name:GILARDINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 WILLIAM STREET, SUITE 400
Mailing Address - Street 2:
Mailing Address - City:MONTREAL
Mailing Address - State:QC
Mailing Address - Zip Code:H3C 1N8
Mailing Address - Country:CA
Mailing Address - Phone:514-297-7000
Mailing Address - Fax:
Practice Address - Street 1:MONTREAL CHILDREN'S HOSPITAL
Practice Address - Street 2:2300 TUPPER AVENUE, C11-33
Practice Address - City:MONTREAL
Practice Address - State:QC
Practice Address - Zip Code:H3H 1P3
Practice Address - Country:CA
Practice Address - Phone:514-934-1934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4308042086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery