Individual
MARK GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 N. CLAYTON ST., SUITE 601 MSB, WILMINGTON, DE 19805
(302) 760-9002
(302) 482-1333
Mailing address
701 N. CLAYTON ST., SUITE 601 MSB, WILMINGTON, DE 19805-2171
(302) 760-9002
(302) 482-1333
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
C1-0004350
DE
2085R0204X
Vascular & Interventional Radiology Physician
Primary
C1-0004350
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000797301
—
DE
01
—
300082183
RAILROAD MEDICARE #
—
Enumeration date
03/24/2006
Last updated
05/11/2022
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