Basic Information
Provider Information
NPI: 1174732929
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MACGARVEY
FirstName: NANCY
MiddleName: CHOU
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 36TH AND SPRUCE STREETS
Address2: 8TH FL
City: PHILADELPHIA
State: PA
PostalCode: 19103
CountryCode: US
TelephoneNumber: 2156623202
FaxNumber:  
Practice Location
Address1: 3300 GALLOWS RD
Address2:  
City: FALLS CHURCH
State: VA
PostalCode: 220423307
CountryCode: US
TelephoneNumber: 7037764001
FaxNumber: 7037767113
Other Information
ProviderEnumerationDate: 05/21/2007
LastUpdateDate: 07/16/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/16/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XMD439314PAN Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207RP1001XMD439314PAN Allopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
207RC0200X0101258062VAY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
207L00000XMD439314PAN Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
BP1-001781101 INSTITUTIONAL PERMITOTHER


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