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
Fax: (609) 924-1468
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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 1548268907 NPPES
New Jersey MEDICAID 3856305

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