MEDICARE: DR. MARC ANDREW GARFIELD D.P.M.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	0103300808	VA

General Provider Information

NPI Number	:	1255336806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC ANDREW GARFIELD D.P.M.

Provider Business Mailing Address
First Line	:	304 YORKVILLE RD
Second Line	:
City	:	YORKVILLE
State	:	VA
Zip	:	23692
Country	:	US
Telephone Number	:	757-271-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	213 BULIFANTS BLVD STE A
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-5733
Country	:	US
Telephone Number	:	757-345-3679
Fax Number	:	757-903-4157

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	10/22/2009

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