Provider Demographics
NPI:1083976203
Name:CLARITO L. GARCES, MD,PC
Entity Type:Organization
Organization Name:CLARITO L. GARCES, MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLARITO
Authorized Official - Middle Name:L
Authorized Official - Last Name:GARCES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-701-1800
Mailing Address - Street 1:283 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-2440
Mailing Address - Country:US
Mailing Address - Phone:973-701-1800
Mailing Address - Fax:
Practice Address - Street 1:283 MAIN ST
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2440
Practice Address - Country:US
Practice Address - Phone:973-701-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-13
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02704800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty