Healthcare Provider Details

I. General information

NPI: 1346245958
Provider Name (Legal Business Name): EDWARD H GARBER JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 06/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MONUMENT RD STE 220
YORK PA
17403-5049
US

IV. Provider business mailing address

3421 CONCORD RD
YORK PA
17402-9001
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-7575
  • Fax: 717-812-5154
Mailing address:
  • Phone: 717-851-7575
  • Fax: 717-812-5154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD019812E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: