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NPI Code Detail

MEDICARE: CHRISTINA MARIE GARCIA

MEDICARE:   CHRISTINA MARIE GARCIA
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
1363A00000XPhysician Assistant25MP00384900NJ
2363A00000XPhysician Assistant019571NY

General Provider Information

NPI Number : 1750747945
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MARIE GARCIA
Provider Business Mailing Address
First Line : 328 77TH ST
Second Line :
City : NORTH BERGEN
State : NJ
Zip : 07047-5616
Country : US
Telephone Number : 201-233-4419
Fax Number :
Provider Business Practice Location Address
First Line : 328 77TH ST
Second Line :
City : NORTH BERGEN
State : NJ
Zip : 07047-5616
Country : US
Telephone Number : 201-233-4419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2016
Last Update Date : 09/15/2023

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Directions to “ CHRISTINA MARIE GARCIA ” Practice Location

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