MEDICARE: DR. ERIC GARN BARRETT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	41177	AZ
2	2080B0002X	Pediatric Obesity Medicine Physician	MD462439	PA
3	2083B0002X	Obesity Medicine (Preventive Medicine) Physician	MD462439	PA
4	202D00000X	Integrative Medicine Physician	MD462439	PA

General Provider Information

NPI Number	:	1871625368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC GARN BARRETT M.D.

Provider Business Mailing Address
First Line	:	1162 TWIN STACKS DR
Second Line	:
City	:	DALLAS
State	:	PA
Zip	:	18612-8505
Country	:	US
Telephone Number	:	570-255-4728
Fax Number	:	570-310-1448

Provider Business Practice Location Address
First Line	:	1162 TWIN STACKS DR
Second Line	:
City	:	DALLAS
State	:	PA
Zip	:	18612-8505
Country	:	US
Telephone Number	:	570-255-4728
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2007
Last Update Date	:	09/17/2024

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