Provider Demographics
NPI:1912196627
Name:DR. ARNALDO A. GARRO, P.A.
Entity Type:Organization
Organization Name:DR. ARNALDO A. GARRO, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNALDO
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:GARRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-868-8926
Mailing Address - Street 1:7501 SURRATTS RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-3362
Mailing Address - Country:US
Mailing Address - Phone:301-868-8926
Mailing Address - Fax:301-868-5228
Practice Address - Street 1:7501 SURRATTS RD
Practice Address - Street 2:SUITE 110
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-3362
Practice Address - Country:US
Practice Address - Phone:301-868-8926
Practice Address - Fax:301-868-5228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-18
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0004300174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD3463GAOtherCAREFIRST BCBS
DC021057800Medicaid
MD115381100Medicaid
DC3987OtherCAREFIRST BCBS DC
DCG02697Medicare PIN
MD115381100Medicaid
DC021057800Medicaid