Provider Demographics
NPI:1568441442
Name:GARCIA, JOSE R (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:R
Last Name:GARCIA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:801 OSTRUM ST
Mailing Address - Street 2:ENROLLMENT CENTER
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1000
Mailing Address - Country:US
Mailing Address - Phone:484-526-6048
Mailing Address - Fax:484-526-6500
Practice Address - Street 1:1901 HAMILTON ST
Practice Address - Street 2:SUITE 300
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6459
Practice Address - Country:US
Practice Address - Phone:610-628-7900
Practice Address - Fax:610-821-2853
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2012-03-16
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Provider Licenses
StateLicense IDTaxonomies
PA023283E174400000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC32226Medicare UPIN