Galita, Oliver Custodio
Galita, Oliver Custodio is an individual health care provider with primary practice located at 9011 Chevrolet Drive Stes 1-6, Ellicott City MD 21042-4024. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Galita, Oliver Custodio can be contacted via phone (410) 465-7550.Contact Information
Primary practice address
9011 Chevrolet Drive Stes 1-6
Ellicott City MD 21042-4024
Phone: (410) 465-7550
Fax: (410) 465-7085
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0056769 | Maryland |
Profile Details
| NPI number | 1346206489 |
|---|---|
| LBN Legal business name | Galita, Oliver Custodio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Sep 18th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346206489 | NPPES |
| Maryland | MEDICAID | 812402700 |
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