Individual
DARRELL LOREN SOUTHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 VREELAND DR, SKILLMAN, NJ 08558-2621
(609) 921-2202
(609) 924-1468
Mailing address
24 VREELAND DR, SKILLMAN, NJ 08558-2621
(609) 921-2202
(609) 924-1468
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MA31265
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3856305
—
NJ
Enumeration date
07/11/2005
Last updated
03/07/2023
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