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Organization

MIDDLETOWN FUNCTIONAL CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT DARLING M.D. (CEO)
(804) 554-0355
Entity
Organization

Contact information

Practice address
586 FULLING MILL RD, MIDDLETOWN, PA 17057-2966
(717) 616-3318
Mailing address
3781 WESTERRE PKWY, SUITE C, RICHMOND, VA 23233-1328
(804) 554-0355

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010603620005
PA
Enumeration date
07/20/2015
Last updated
10/29/2015
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