Organization
GARRETT MEDICAL GROUP, PA
Active
Other names
Garrett Medical Group Lab
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA F WOLFE (OFFICE MANAGER)
(301) 334-7420
Entity
Organization
Contact information
Practice address
311 N 4TH ST, OAKLAND, MD 21550-1371
(301) 334-8171
(301) 334-1819
Mailing address
311 N 4TH ST, OAKLAND, MD 21550-1371
(301) 334-8171
(301) 334-1819
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
21D0220145
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788711600
—
MD
Enumeration date
02/16/2015
Last updated
02/16/2015
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