Provider Demographics
NPI:1932246980
Name:GARLOFF, SAMUEL (DO)
Entity Type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:
Last Name:GARLOFF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 S CENTRE ST.
Mailing Address - Street 2:
Mailing Address - City:POTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17901-2910
Mailing Address - Country:US
Mailing Address - Phone:570-628-5234
Mailing Address - Fax:570-628-9051
Practice Address - Street 1:16 S. CENTRE ST
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901-2910
Practice Address - Country:US
Practice Address - Phone:570-628-5234
Practice Address - Fax:570-628-9051
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-004273-L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry