Basic Information
| Provider Information | |||||||||
| NPI: | 1003892589 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | GARROW | ||||||||
| FirstName: | GEORGE | ||||||||
| MiddleName: | CAPELLA | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 100 SHENANGO AVE | ||||||||
| Address2: | |||||||||
| City: | SHARON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 161461503 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7243423002 | ||||||||
| FaxNumber: | 7243421942 | ||||||||
| Practice Location | |||||||||
| Address1: | 63 PITT ST | ||||||||
| Address2: | |||||||||
| City: | SHARON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 161462102 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7243426604 | ||||||||
| FaxNumber: | 7243421601 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/16/2005 | ||||||||
| LastUpdateDate: | 06/09/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 06/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RX0202X | MD072681L | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology | 207R00000X | MD072681L | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0018248240011 | 05 | PA | MEDICAID | 0018248240036 | 05 | PA | MEDICAID | 0018248240044 | 05 | PA | MEDICAID | 0018248240046 | 05 | PA | MEDICAID | 0018248240047 | 05 | PA | MEDICAID | 0018248240049 | 05 | PA | MEDICAID | 0018248240009 | 05 | PA | MEDICAID | 0018248240010 | 05 | PA | MEDICAID | 0018248240016 | 05 | PA | MEDICAID | 0018248240019 | 05 | PA | MEDICAID | 0018248240039 | 05 | PA | MEDICAID | 0018248240008 | 05 | PA | MEDICAID | 0018248240013 | 05 | PA | MEDICAID | 0018248240015 | 05 | PA | MEDICAID | 0018248240022 | 05 | PA | MEDICAID | 0018248240028 | 05 | PA | MEDICAID | 0018248240029 | 05 | PA | MEDICAID | 0018248240042 | 05 | PA | MEDICAID | 0018248240045 | 05 | PA | MEDICAID | 0018248240017 | 05 | PA | MEDICAID | 0018248240020 | 05 | PA | MEDICAID | 0018248240027 | 05 | PA | MEDICAID | 0018248240030 | 05 | PA | MEDICAID | 0018248240043 | 05 | PA | MEDICAID | 0018248240048 | 05 | PA | MEDICAID | 0018248240050 | 05 | PA | MEDICAID | 0018248240032 | 05 | PA | MEDICAID | 0018248240041 | 05 | PA | MEDICAID | 0018248240012 | 05 | PA | MEDICAID | 0018248240014 | 05 | PA | MEDICAID | 0018248240026 | 05 | PA | MEDICAID | 0018248240033 | 05 | PA | MEDICAID | 043763RN0 | 01 | PA | MEDICARE | OTHER |