Organization
GARRETT SURGICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A. WALCH MD (PRESIDENT)
(301) 334-8282
Entity
Organization
Contact information
Practice address
255 N 4TH ST STE 2, OAKLAND, MD 21550-1340
(301) 334-8282
(301) 334-8468
Mailing address
255 N 4TH ST STE 2, OAKLAND, MD 21550-1340
(301) 334-8282
(301) 334-8468
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D47925
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022248500
MEDICAID
DC
01
—
0499579
WELFARE
DC
01
—
1395892
MWA
MD
05
—
205900200
—
MD
01
—
260066
BLACK LUNG
MD
01
—
330396
TRIGON BCBS
MD
01
—
413716
BCBS
PA
01
—
H814GA
BCBS
MD
01
—
S3300000
BLUE CHOICE
MD
Enumeration date
03/01/2007
Last updated
02/10/2020
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