Provider Demographics
NPI:1982805396
Name:GARCIA, JULIA V (MD)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:V
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:PA
Mailing Address - Zip Code:15537-1134
Mailing Address - Country:US
Mailing Address - Phone:201-937-9688
Mailing Address - Fax:
Practice Address - Street 1:220 W MAIN ST
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:PA
Practice Address - Zip Code:15537-1134
Practice Address - Country:US
Practice Address - Phone:201-937-9688
Practice Address - Fax:814-834-7424
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD456472207P00000X, 207Q00000X
CAA97219207Q00000X
NDPT11308207Q00000X
PA456472207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA463452OtherMEDICARE NUMBER