Provider Demographics
NPI:1003892589
Name:GARROW, GEORGE CAPELLA (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:CAPELLA
Last Name:GARROW
Suffix:
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 1:100 SHENANGO AVE
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:PA
Mailing Address - Zip Code:16146-1503
Mailing Address - Country:US
Mailing Address - Phone:724-342-3002
Mailing Address - Fax:724-342-1942
Practice Address - Street 1:63 PITT ST
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-2102
Practice Address - Country:US
Practice Address - Phone:724-342-6604
Practice Address - Fax:724-342-1601
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD072681L207RX0202X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018248240011Medicaid
PA0018248240036Medicaid
PA0018248240044Medicaid
PA0018248240046Medicaid
PA0018248240047Medicaid
PA0018248240049Medicaid
PA0018248240009Medicaid
PA0018248240010Medicaid
PA0018248240016Medicaid
PA0018248240019Medicaid
PA0018248240039Medicaid
PA0018248240008Medicaid
PA0018248240013Medicaid
PA0018248240015Medicaid
PA0018248240022Medicaid
PA0018248240028Medicaid
PA0018248240029Medicaid
PA0018248240042Medicaid
PA0018248240045Medicaid
PA0018248240017Medicaid
PA0018248240020Medicaid
PA0018248240027Medicaid
PA0018248240030Medicaid
PA0018248240043Medicaid
PA0018248240048Medicaid
PA0018248240050Medicaid
PA0018248240032Medicaid
PA0018248240041Medicaid
PA0018248240012Medicaid
PA0018248240014Medicaid
PA0018248240026Medicaid
PA0018248240033Medicaid
PA043763RN0OtherMEDICARE