Individual
DR. PAUL GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 FAIRVIEW RD, MEDFORD, NJ 08055-9116
(609) 463-4003
Mailing address
18 FAIRVIEW RD, MEDFORD, NJ 08055-9116
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA04963700
NJ
2085R0202X
Diagnostic Radiology Physician
MD028592E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00644550000
AMERIHEALTH
NJ
01
—
106716
KEYSTONE
NJ
05
—
7413106
—
NJ
Enumeration date
09/26/2006
Last updated
07/08/2007
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