Individual
MR. KENNETH GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 RATZER RD, STE. #7, WAYNE, NJ 07470-7702
(973) 694-2222
(973) 694-7664
Mailing address
330 RATZER RD, STE. #7, WAYNE, NJ 07470-7702
(973) 694-2222
(973) 694-7664
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA03618800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071977000
AMERIHEALTH
NJ
05
—
0957402
—
NJ
Enumeration date
06/06/2006
Last updated
10/19/2009
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