Garcia, Estevan Adan

Garcia, Estevan Adan is an sole proprietor health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Garcia, Estevan Adan can be contacted via phone (508) 421-1600.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Phone: (508) 421-1600
Fax: (774) 442-2510
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 270364 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 232163 New York

Profile Details

NPI number 1255415709
LBN Legal business name Garcia, Estevan Adan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Feb 3rd, 2023 - about last year

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 1255415709 NPPES
Massachusetts MEDICAID 110130064A

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