Individual
DARRYL DARNELL GAINES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3080 HAMILTON BLVD, SUITE 350, ALLENTOWN, PA 18103-3694
(484) 661-4650
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD454016
PA
Other
Enumeration date
03/30/2012
Last updated
11/19/2015
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