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Individual
MICHAEL JOHN GARCIA
Active
Individual
MICHAEL JOHN GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD048047-L
PA
208M00000X
Hospitalist Physician
MD048047L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1521330
—
PA
01
—
232878501
TAX ID
PA
01
—
672380
BLUE SHIELD NUMBER
PA
01
—
CAPITAL BLUE CROSS
CAPITAL BLUE CROSS PROVID
PA
01
—
MD048047-L
LICENSE NUMBER
PA
Enumeration date
05/23/2005
Last updated
01/02/2021
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