Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 14336 | MS |
NPI | 1114083490 |
---|---|
Provider Name | Bryan W Darling |
First Address | Voorhees, NJ 08043-3520 |
Second Address | Voorhees, NJ 08043-3520 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2006 |
Last Update Date | 17/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00119709 | (05) | MS |
003179263A | (05) | GA |
0754064 | (05) | NJ |
1114083490 | (05) | MI |
1114083490 | (05) | MO |
1114083490 | (05) | MS |
1510195 | (05) | TN |
175309001 | (05) | AR |
177488 | (05) | AL |
7100464610 | (05) | KY |