MEDICARE: DR. JULIA GRIGGS GARCIA M.D.

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
1	2083X0100X	Occupational Medicine Physician	25MA07470500	NJ

General Provider Information

NPI Number	:	1164402889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIA GRIGGS GARCIA M.D.

Provider Business Mailing Address
First Line	:	130 MANSFELD CT
Second Line	:
City	:	HELLERTOWN
State	:	PA
Zip	:	18055-9719
Country	:	US
Telephone Number	:	540-226-4680
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 FRELINGHUYSEN RD
Second Line	:
City	:	PISCATAWAY
State	:	NJ
Zip	:	08854-8020
Country	:	US
Telephone Number	:	732-445-0123
Fax Number	:	732-445-0130

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2006
Last Update Date	:	07/08/2007

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