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1710972781

NPI Code Detail

MEDICARE: DR. GARTH A ASHBECK M.D.

MEDICARE: DR. GARTH A ASHBECK 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	207Q00000X	Family Medicine Physician	D0060752	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00381801	OTHER	MD	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8138058	OTHER	MD	MAMSI PRIMARY CARE
3	P16894	OTHER	MD	CAREFIRST MPOS
4	1107284	OTHER	MD	AETNA CAPITATED
5	2138058	OTHER	MD	MAMSI SPECIALIST
6	621212-05	OTHER	MD	CAREFIRST MD RENDERING
7	7605-0077	OTHER	MD	CAREFIRST BLUECHOICE
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	5848584	OTHER	MD	CIGNA PIN
10	125507	OTHER	MD	JHHC PROVIDER NUMBER
11	7396517	OTHER	MD	AETNA FEE FOR SERVICE

General Provider Information

NPI Number	:	1710972781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARTH A ASHBECK M.D.

Provider Business Mailing Address
First Line	:	1111 BENFIELD BLVD
Second Line	:	SUITE 200
City	:	MILLERSVILLE
State	:	MD
Zip	:	21108-3002
Country	:	US
Telephone Number	:	410-729-5100
Fax Number	:	443-679-1382

Provider Business Practice Location Address
First Line	:	24 MAGOTHY BEACH RD STE A
Second Line	:
City	:	PASADENA
State	:	MD
Zip	:	21122-4414
Country	:	US
Telephone Number	:	410-255-2700
Fax Number	:	410-437-1962

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

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	10/02/2014

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Practice Location Address:

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Practice Fax:

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Practice Location Address:

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Practice Fax:

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Practice Location Address:

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1447529904 — VIVIAN NDIRIKA DURU PA
Practice Location Address:

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Directions to “ DR. GARTH A ASHBECK 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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