Individual
CHARLES ANTHONY GARGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
(360) 738-2200
(360) 752-5682
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 738-2200
(360) 752-5682
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00042376
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0229843
L&I AND CRIME VICTIMS
WA
05
—
1689663288
—
WA
01
—
4446GA
REGENCE
WA
01
—
7830444
AETNA
WA
05
—
8361537
—
WA
Enumeration date
10/17/2005
Last updated
09/30/2010
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