Individual
DR. JOSEPH MICHAEL GARASIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, CARDIAC CATHETERIZATION LAB MGH, BOSTON, MA 02114-2621
(617) 726-0712
(617) 726-3539
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIANS ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-0712
(617) 726-3539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
151324
MA
207RC0000X
Cardiovascular Disease Physician
151324
MA
207RI0011X
Interventional Cardiology Physician
Primary
151324
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0123650
—
MA
01
—
455113
TUFTS HEALTH PLAN
MA
01
—
J22743
BCBS MA
MA
Enumeration date
11/17/2005
Last updated
10/01/2013
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