Garcia, Imelda A

Garcia, Imelda A is an individual health care provider with primary practice located at 881 South St , Fitchburg MA 01420. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Garcia, Imelda A can be contacted via phone (978) 345-7172.

Contact Information

Primary practice address
881 South St Fitchburg MA 01420
Phone: (978) 345-7172
Fax: (978) 348-2549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 157777 Massachusetts

Profile Details

NPI number 1689740201
LBN Legal business name Garcia, Imelda A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1689740201 NPPES
Other 202020 HARVARD PILG
Other 40875 HARVARD PILG
Other 5637115003 HARVARD PILG
Other 988911 HARVARD PILG
Other J19605 HARVARD PILG
MEDICAID 3188141 HARVARD PILG
Other 2160353 HARVARD PILG
Other 776400 HARVARD PILG

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