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1215930227

NPI Code Detail

MEDICARE: MICHAEL JOHN GARCIA M.D.

MEDICARE: MICHAEL JOHN 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	208M00000X	Hospitalist Physician	MD048047L	PA
2	207R00000X	Internal Medicine Physician	MD048047-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	232878501	OTHER	PA	TAX ID
3	672380	OTHER	PA	BLUE SHIELD NUMBER
4	MD048047-L	OTHER	PA	LICENSE NUMBER
5	CAPITAL BLUE CROSS	OTHER	PA	CAPITAL BLUE CROSS PROVID

General Provider Information

NPI Number	:	1215930227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL JOHN GARCIA M.D.

Provider Business Mailing Address
First Line	:	300 HIGHLAND AVE
Second Line	:
City	:	HANOVER
State	:	PA
Zip	:	17331-2297
Country	:	US
Telephone Number	:	717-316-3711
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 HIGHLAND AVE
Second Line	:
City	:	HANOVER
State	:	PA
Zip	:	17331-2297
Country	:	US
Telephone Number	:	717-316-3711
Fax Number	:

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	01/02/2021

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Directions to “ MICHAEL JOHN GARCIA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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