Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD442531 | PA |
N | 208600000X | Surgeon | MD442531 | PA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | MD442531 | PA |
NPI | 1134388283 |
---|---|
Provider Name | Jeremy Ray Mcgarvey |
First Address | Lancaster, PA 17602-2374 |
Second Address | Lancaster, PA 17602-2374 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2008 |
Last Update Date | 26/02/2018 |