Basic Information
Provider Information
NPI: 1346566627
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARBER
FirstName: ADAM
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
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OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 91734
Address2:  
City: RICHMOND
State: VA
PostalCode: 232911734
CountryCode: US
TelephoneNumber: 8043586100
FaxNumber: 8043427619
Practice Location
Address1: 1250 E MARSHALL ST
Address2: INTERNAL MEDICINE
City: RICHMOND
State: VA
PostalCode: 232985051
CountryCode: US
TelephoneNumber: 8048283144
FaxNumber: 8046287104
Other Information
ProviderEnumerationDate: 04/12/2010
LastUpdateDate: 07/26/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X0101253554VAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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