Individual
CAROLYN R. GARCIA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 VAN BUREN ST, SUITE 202, FOSTORIA, OH 44830-1593
(419) 436-0840
(419) 436-0436
Mailing address
501 VAN BUREN ST, SUITE 202, FOSTORIA, OH 44830-1593
(419) 436-0840
(419) 436-0436
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35087291
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
AETNA
OH
05
—
PENDING
—
OH
Enumeration date
04/18/2006
Last updated
07/08/2007
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