Provider Demographics
NPI:1346245958
Name:GARBER, EDWARD H JR (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:H
Last Name:GARBER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-7575
Mailing Address - Fax:717-812-5154
Practice Address - Street 1:25 MONUMENT RD
Practice Address - Street 2:STE 220
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5049
Practice Address - Country:US
Practice Address - Phone:717-851-7575
Practice Address - Fax:717-812-5154
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019812E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000736600/0004Medicaid
PAD71288Medicare UPIN
PA147381EBWMedicare ID - Type Unspecified
PAP01309583Medicare PIN
PA000736600/0004Medicaid