Individual
IMELDA A GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
881 SOUTH ST, FITCHBURG, MA 01420
(978) 345-7172
(978) 348-2549
Mailing address
881 SOUTH ST, FITCHBURG, MA 01420
(978) 345-7172
(978) 348-2549
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
157777
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202020
HARVARD PILG
—
01
—
2160353
US HEALTH
MA
05
—
3188141
—
MA
01
—
40875
FALLON
MA
01
—
5637115003
CIGNA
MA
01
—
776400
TUFTS
MA
01
—
988911
NETWORK
MA
01
—
J19605
BCBS
MA
Enumeration date
11/27/2006
Last updated
07/08/2007
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