Provider Demographics
NPI:1326008509
Name:GIRARD, DONALD ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ANTHONY
Last Name:GIRARD
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 1:2601 ANNAND DR STE 19
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-3719
Mailing Address - Country:US
Mailing Address - Phone:302-633-5755
Mailing Address - Fax:302-633-5751
Practice Address - Street 1:2601 ANNAND DR STE 19
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-3719
Practice Address - Country:US
Practice Address - Phone:302-633-5755
Practice Address - Fax:302-633-5751
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0002909207RG0100X
PAMD-030636-E207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000302302Medicaid
DE0000302302Medicaid
DE161808Medicare PIN