Southern, Darrell Loren
Southern, Darrell Loren is an individual health care provider with primary practice located at 24 Vreeland Dr , Skillman NJ 08558-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Southern, Darrell Loren can be contacted via phone (609) 921-2202.Contact Information
Primary practice address
24 Vreeland Dr
Skillman NJ 08558-2621
Phone: (609) 921-2202
Fax: (609) 924-1468
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | MA31265 | New Jersey |
Profile Details
| NPI number | 1548268907 |
|---|---|
| LBN Legal business name | Southern, Darrell Loren |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2005 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548268907 | NPPES |
| New Jersey | MEDICAID | 3856305 |
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