Garrett, Marjorie A

Garrett, Marjorie A is an individual health care provider with primary practice located at 945 Main St Suite 102, Manchester CT 06040-6064. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Garrett, Marjorie A can be contacted via phone (860) 643-0319.

Contact Information

Primary practice address
945 Main St Suite 102 Manchester CT 06040-6064
Phone: (860) 643-0319
Fax: (860) 812-0310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 038384 Connecticut

Profile Details

NPI number 1710955935
LBN Legal business name Garrett, Marjorie A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jun 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710955935 NPPES
Connecticut Other P2097199 OXFORD
Connecticut Other 038384 OXFORD
Connecticut Other 6256332 OXFORD
Connecticut Other 7884165 OXFORD
Connecticut MEDICAID 001383843 OXFORD
Connecticut Other OV9470 OXFORD
Connecticut Other 010038384CT02 OXFORD

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