Healthcare Provider Details

I. General information

NPI: 1609800721
Provider Name (Legal Business Name): JOSEPH ALEXANDER GARCIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 10/06/2021
Certification Date: 10/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9712 BELAIR RD SUITE 303
BALTIMORE MD
21236-1103
US

IV. Provider business mailing address

9712 BELAIR RD SUITE 303
BALTIMORE MD
21236-1103
US

V. Phone/Fax

Practice location:
  • Phone: 410-256-8787
  • Fax: 410-256-3037
Mailing address:
  • Phone: 410-256-8787
  • Fax: 410-529-1887

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberD0023969
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: