Individual
MR. DARIUS JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2521 N GARNET ST, PHILADELPHIA, PA 19132-3728
(307) 371-2597
Mailing address
2521 N GARNET ST, PHILADELPHIA, PA 19132-3728
(307) 371-2597
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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