Individual
NESTOR GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
575 N RIVER ST, WILKES BARRE, PA 18764-0999
(570) 829-8111
Mailing address
PO BOX 1476, KINGSTON, PA 18704-0476
(570) 288-8881
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MD042111E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012072120005
—
PA
Enumeration date
04/19/2006
Last updated
07/02/2020
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