Basic Information
Provider Information
NPI: 1306803630
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GARRATT
FirstName: KIRK
MiddleName: N
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 HYGEIA DRIVE
Address2: SUITE 2300
City: NEWARK
State: DE
PostalCode: 197132049
CountryCode: US
TelephoneNumber: 3026237362
FaxNumber:  
Practice Location
Address1: 4755 OGLETOWN STANTON ROAD
Address2: CHRISTIANA HOSPITAL
City: NEWARK
State: DE
PostalCode: 197182200
CountryCode: US
TelephoneNumber: 3026231929
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/28/2006
LastUpdateDate: 12/23/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0011X23500NYN Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
207RC0000XC1-0011468DEY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RI0011XC1-0011468DEN Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology

No ID Information.


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