DR. JACQUELINE MARY GARONZIK WANG (NPI# 1649324641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649324641 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE MARY GARONZIK WANG |
| Other Name | JACQUELINE MARY GARONZIK |
| Credential | MD PHD |
| Practice Address |
720 Rutland Ave # Ross765 Baltimore MD 21205 |
| Mailing Address |
720 Rutland Ave # Ross765 Baltimore MD 21205-2109 |
| Practice Telephone | 4105025198 |
| Mailing Telephone | 4105025198 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2018-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204F00000X | Transplant Surgery | D0069174 | MD | Allopathic & Osteopathic Physicians |
| N | 204F00000X | Transplant Surgery | 2014006548 | MO | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 2014006548 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4921 Parkview Pl, Ste 8c, Saint Louis, MO 631101032 | 3147473969 | 3147474111 |
| Street Address |
720 RUTLAND AVE # ROSS765 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669817839 | Sharon Ruth Weeks Groh | Surgery | 720 Rutland Ave # Ross765, Baltimore, MD 21205-2109 | 2013-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467019034 | Meghna Rajaprakash | Student in an Organized Health Care Education/Training Program | 716 N Broadway, Rm 431, Baltimore, MD 21205 | 2019-05-20 |
| 1871158592 | Rachel Samantha Bronheim | Student in an Organized Health Care Education/Training Program | 610 N Caroline St, 5th Floor, Baltimore, MD 21205 | 2019-05-08 |
| 1700342250 | Ruth Leeanna Williams | Social Worker | 504 N. Caroline Street, Baltimore, MD 21205 | 2019-02-20 |
| 1174017032 | Anna Kathryn Chassevent | Genetic Counselor, MS | 801 N. Broadway, Baltimore, MD 21205 | 2018-06-14 |
| 1588115653 | Redeem Healthcare and Medical System Inc | Case Management | 917 North Caroline Street, Baltimore, MD 21205 | 2016-10-24 |
| 1013334929 | Crystal Diane Salcido | Psychiatry & Neurology | 855 N Wolfe St Ste 300, Baltimore, MD 21205 | 2014-03-28 |
| 1487088464 | Laura Mitchell | Nurse Practitioner | 707 N. Broadway Ave, Baltimore, MD 21205 | 2013-08-27 |
| 1477992410 | Ferbet Take Care Health Maryland, P.C. | Nurse Practitioner | 900 N. Washington Street, Baltimore, MD 21205 | 2013-06-24 |
| 1225370570 | Amena Smith Fine | Pediatrics | Kennedy Krieger Institute, 707 N Broadway, Baltimore, MD 21205 | 2013-03-25 |
| 1356695993 | Kalpana Prasad | Student in an Organized Health Care Education/Training Program | 800 North Wolfe St., John G. Rangos, Sr. Building, Room 248, 2nd Floor, Baltimore, MD 21205 | 2012-11-05 |
| Find all providers in zip 21205 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891021549 | Soo Youn Yi | Transplant Surgery | 401 W Redwood St, Suite 100, Baltimore, MD 21201-1732 | 2009-10-29 |
| 1033245725 | John C Lamattina | Transplant Surgery | 29 S. Greene St., Ste 200, Univ. of Maryland, Transplant Division, Baltimore, MD 21201-1504 | 2007-02-26 |
| 1013978287 | Jayme E Locke | Transplant Surgery | 720 Rutland Ave, Ross Research Building, Room765, Baltimore, MD 21205 | 2006-03-29 |
| 1497721294 | Jonathan Bromberg | Transplant Surgery | 16 S Eutaw St Fl 1, Baltimore, MD 21201-1606 | 2006-02-23 |
| 1689217234 | Georgios Vrakas | Transplant Surgery | 29 S Greene St Ste 200, Baltimore, MD 21201-1504 | 2019-10-25 |
| 1912407362 | Raphael Pascal Henri Meier | Transplant Surgery | 419 W Redwood St Ste 300, Baltimore, MD 21201-7003 | 2018-02-12 |
| 1942756911 | Saad Ahmed Malik | Transplant Surgery | 22 S Greene St, Baltimore, MD 21201-1544 | 2016-08-30 |
| 1497157770 | Charbel Chalouhy | Transplant Surgery | 720 Rutland Ave, Ross 765, Baltimore, MD 21205-2109 | 2014-09-18 |
| 1124262951 | Russell Noel Wesson | Transplant Surgery | 600 N Wolfe St, Ross 771 Johns Hopkins, Baltimore, MD 21287-0005 | 2009-04-23 |
| 1689840837 | Bruce E Jarrell | Transplant Surgery | 655 W Baltimore St, Univ of Maryland School of Medicine, 14-029, Baltimore, MD 21201-1509 | 2008-05-07 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on DR. JACQUELINE MARY GARONZIK WANG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.