Galita, Oliver Custodio

Galita, Oliver Custodio is an individual health care provider with primary practice located at 9011 Chevrolet Drive Stes 1-6, Ellicott City MD 21042-4024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Galita, Oliver Custodio can be contacted via phone (410) 465-7550.

Contact Information

Primary practice address
9011 Chevrolet Drive Stes 1-6 Ellicott City MD 21042-4024
Phone: (410) 465-7550
Fax: (410) 465-7085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0056769 Maryland

Profile Details

NPI number 1346206489
LBN Legal business name Galita, Oliver Custodio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Sep 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346206489 NPPES
Maryland MEDICAID 812402700

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