Basic Information
| Provider Information | |||||||||
| NPI: | 1629307749 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GARABED | ||||||||
| FirstName: | CARMEN | ||||||||
| MiddleName: | ANGELICA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11301 SCHUYLKILL RD | ||||||||
| Address2: | |||||||||
| City: | ROCKVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208522423 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3012316381 | ||||||||
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| Practice Location | |||||||||
| Address1: | 22 S GREENE ST | ||||||||
| Address2: | |||||||||
| City: | BALTIMORE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212011544 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103286704 | ||||||||
| FaxNumber: | 4103284124 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/19/2009 | ||||||||
| LastUpdateDate: | 03/24/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | R131483 | MD | N | Nursing Service Providers | Registered Nurse | 163W00000X | RN65546 | DC | N | Nursing Service Providers | Registered Nurse | 367500000X | R131483 | MD | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.