Healthcare Provider Details

I. General information

NPI: 1003892589
Provider Name (Legal Business Name): GEORGE CAPELLA GARROW MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 06/09/2021
Certification Date: 06/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 PITT ST
SHARON PA
16146-2102
US

IV. Provider business mailing address

100 SHENANGO AVE
SHARON PA
16146-1503
US

V. Phone/Fax

Practice location:
  • Phone: 724-342-6604
  • Fax: 724-342-1601
Mailing address:
  • Phone: 724-342-3002
  • Fax: 724-342-1942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD072681L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD072681L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: