Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | D0091900 | MD |
N | 2086X0206X | Surgical Oncologist | PENDING | MA |
NPI | 1154764421 |
---|---|
Provider Name | Meghan Elizabeth Garstka |
First Address | Baltimore, MD 21264-4226 |
Second Address | Baltimore, MD 21201-7003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2013 |
Last Update Date | 29/07/2021 |