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NPI Code Detail

MEDICARE: GERTRUDIS GARCIA DMD

MEDICARE: GERTRUDIS GARCIA DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry19066NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144219841
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERTRUDIS GARCIA DMD
Provider Business Mailing Address
First Line : 846 BERGEN AVE
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-4404
Country : US
Telephone Number : 201-946-1000
Fax Number : 201-946-1641
Provider Business Practice Location Address
First Line : 846 BERGEN AVE
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-4404
Country : US
Telephone Number : 201-946-1000
Fax Number : 201-946-1641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 07/09/2007

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Directions to “ GERTRUDIS GARCIA DMD” Practice Location

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