Individual
MAGDIEL GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
225 ERDMAN ST, BANGOR, PA 18013-2043
(610) 588-2225
(610) 588-2292
Mailing address
225 ERDMAN ST, BANGOR, PA 18013-2043
(610) 588-2225
(610) 588-2292
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP012758
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2795062
HIGHMARK BLUE SHIELD
PA
01
—
50033226
CAPITAL BLUE CROSS
PA
01
—
660979
UNITED HEALTHCARE
PA
01
—
P38305
AMERIHEALTH
PA
Enumeration date
11/09/2006
Last updated
09/17/2013
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