Provider Demographics
NPI:1306896360
Name:GARZIA, FERNANDO M (MD)
Entity type:Individual
Prefix:DR
First Name:FERNANDO
Middle Name:M
Last Name:GARZIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:118 BEAVER DAM REACH
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-6101
Mailing Address - Country:US
Mailing Address - Phone:302-430-3676
Mailing Address - Fax:844-413-3835
Practice Address - Street 1:118 BEAVER DAM REACH
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-6101
Practice Address - Country:US
Practice Address - Phone:302-430-3676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD059854L208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50039524OtherCAPITAL BLUE CROSS
PA30019304OtherKEYSTONE MERCY
PAP00186447OtherRAILROAD MEDICARE
PA3641350OtherAETNA
PA1525488OtherGATEWAY HEALTH PLAN
PA50650OtherGEISINGER HEALTH PLAN
PA764640OtherKEYSTONE CENTRAL
PA20034830OtherAMERIHEALTH MERCY
PA000764640OtherKEYSTONE EAST
PA0708196000OtherAMERIHEALTH (IBC)
PA764640OtherHIGHMARK BLUE SHIELD
PA764640OtherHIGHMARK BLUE SHIELD
PA764640OtherKEYSTONE CENTRAL
PA000764640OtherKEYSTONE EAST