Individual
DARRELL PETER SHOULARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., M.A.
Contact information
Practice address
10 N END TER, NEWARK, NJ 07104-4404
(862) 704-3524
Mailing address
10 N END TER, NEWARK, NJ 07104-4404
(862) 704-3524
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
778909
NJ
Other
Enumeration date
08/17/2019
Last updated
08/17/2019
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