Provider Demographics
NPI:1902065170
Name:GARWOOD, RICHARD C (DO)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:C
Last Name:GARWOOD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 OSTRUM ST
Mailing Address - Street 2:ST. LUKE'S ENROLLMENT CENTER
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-1000
Mailing Address - Country:US
Mailing Address - Phone:610-954-6643
Mailing Address - Fax:610-954-4658
Practice Address - Street 1:801 OSTRUM ST
Practice Address - Street 2:ST. LUKE'S INTERNAL MEDICINE
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-1000
Practice Address - Country:US
Practice Address - Phone:610-954-6643
Practice Address - Fax:610-954-4658
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014863207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine