Individual
MR. DARA LANKARANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 EAST NEW YORK AVE, SOMERS POINT, NJ 08244
(609) 653-3500
(609) 926-4311
Mailing address
1 EAST NEW YORK AVE, SOMERS POINT, NJ 08244
(609) 653-3500
(609) 926-4311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08631800
NJ
208M00000X
Hospitalist Physician
Primary
25MA08631800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0213217
—
NJ
01
—
P00788981
RR MEDICARE
NJ
Enumeration date
06/21/2009
Last updated
10/20/2020
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