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Individual

EILEEN M GARAVENTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
193 STONER AVENUE, SUITE 300, WESTMINSTER, MD 21157
(410) 876-3355
(410) 876-3355
Mailing address
193 STONER AVENUE, SUITE 300, WESTMINSTER, MD 21157
(410) 876-3355
(410) 848-3647

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
D0057370
MD
207V00000X
Obstetrics & Gynecology Physician
Primary
MD071513L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039157300
MD
05
10254307
PA
01
30088134
AMERIHEALTH MERCY-WMG
01
30088199
AMERIHEALTH MERCY-YH
PA
01
416566
UPMC-WMG
PA
Enumeration date
03/14/2006
Last updated
01/02/2021
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