Individual
DARRELL EUGENE ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SPECIALIST
Contact information
Practice address
243 HALSEY ST APT 5C, NEWARK, NJ 07102-3750
(917) 749-9257
Mailing address
243 HALSEY ST APT 5C, NEWARK, NJ 07102-3750
(917) 749-9257
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1136412171
NY
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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