Provider Demographics
NPI:1235185968
Name:GARCIA, EDUARDO (MD)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 WASHINGTON ST
Mailing Address - Street 2:GREEN #567
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462-1650
Mailing Address - Country:US
Mailing Address - Phone:617-928-1500
Mailing Address - Fax:617-630-0860
Practice Address - Street 1:2000 WASHINGTON ST
Practice Address - Street 2:GREEN #567
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1650
Practice Address - Country:US
Practice Address - Phone:617-928-1500
Practice Address - Fax:617-630-0860
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2298852084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA011955OtherTUFTS HEALTH PLAN
MAJ29395OtherBLUE CROSS BLUE SHIELD
MA2131005Medicaid
MA2301867OtherUNITED HEALTHCARE
MAAA76790OtherHARVARD PILGRIM HC
NHH92381Medicare UPIN
MAI55953Medicare UPIN
NHH92381Medicare UPIN