Provider Demographics
NPI:1811956287
Name:TAN & GARCIA PEDIATRICS PC
Entity type:Organization
Organization Name:TAN & GARCIA PEDIATRICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-540-1743
Mailing Address - Street 1:4700 UNION DEPOSIT RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-3774
Mailing Address - Country:US
Mailing Address - Phone:717-540-1743
Mailing Address - Fax:717-540-1782
Practice Address - Street 1:4700 UNION DEPOSIT RD
Practice Address - Street 2:SUITE 220
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-3774
Practice Address - Country:US
Practice Address - Phone:717-540-1743
Practice Address - Fax:717-540-1782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty