Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | D0057370 | MD |
Y | 207V00000X | Obstetrician & Gynecologist | MD071513L | PA |
NPI | 1003885948 |
---|---|
Provider Name | Eileen M Garavente |
First Address | Westminster, MD 21157 |
Second Address | Westminster, MD 21157 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 02/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
039157300 | (05) | MD |
10254307 | (05) | PA |
30088134 | AMERIHEALTH MERCY-WMG (01) | |
30088199 | AMERIHEALTH MERCY-YH (01) | PA |
416566 | UPMC-WMG (01) | PA |
H42040 | (02) |