Provider Demographics
NPI:1871625368
Name:BARRETT, ERIC GARN (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:GARN
Last Name:BARRETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1162 TWIN STACKS DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:PA
Mailing Address - Zip Code:18612-8505
Mailing Address - Country:US
Mailing Address - Phone:570-255-4728
Mailing Address - Fax:570-310-1448
Practice Address - Street 1:1162 TWIN STACKS DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:PA
Practice Address - Zip Code:18612-8505
Practice Address - Country:US
Practice Address - Phone:570-255-4728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-10
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ41177207L00000X
PAMD4624392080B0002X, 2083B0002X, 202D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202D00000XAllopathic & Osteopathic PhysiciansIntegrative Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No2080B0002XAllopathic & Osteopathic PhysiciansPediatricsObesity Medicine
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine