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DARRELL LOREN SOUTHERN MD

Allergy and Immunology

Skillman, New Jersey

Provider NPI: 1548268907

Provider Information:
 DARRELL LOREN SOUTHERN MD


Practice Location:
24 VREELAND DR  SKILLMAN, NJ 08558 US
Tel: 609-921-2202  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
NJMA31265

Other Provider Identifiers:

IssuerNumberStateType
DEAAS7638806NJ01
3856305NJ05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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