Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204C00000X | Sports Medicine Doctor | OS013311 | PA |
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS013311 | PA |
NPI | 1013086917 |
---|---|
Provider Name | Dr. Darren C Mcauley |
First Address | Philadelphia, PA 19131-1626 |
Second Address | Philadelphia, PA 19131-1626 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 01/02/2016 |