Provider Demographics
NPI:1598721870
Name:MCGARVEY, CHARLES L (DPT)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:L
Last Name:MCGARVEY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15900 SYCAMORE LN
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-1457
Mailing Address - Country:US
Mailing Address - Phone:301-496-2844
Mailing Address - Fax:301-480-0669
Practice Address - Street 1:BLDG 10 CRC NATIONAL INST OF HEALTH
Practice Address - Street 2:10 CENTER DRIVE MSC 1604
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-496-2844
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15667174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist