Basic Information
Provider Information
NPI: 1104921105
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LINKIN
FirstName: DARREN
MiddleName: R.
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 51 NORTH 39TH STREET
Address2: 3910 BUILDING, 2ND FLOOR
City: PHILADELPHIA
State: PA
PostalCode: 191042640
CountryCode: US
TelephoneNumber: 2156629990
FaxNumber: 2158235168
Practice Location
Address1: 51 NORTH 39TH STREET
Address2: 3910 BUILDING, 2ND FLOOR
City: PHILADELPHIA
State: PA
PostalCode: 191042640
CountryCode: US
TelephoneNumber: 2156629990
FaxNumber: 2158235168
Other Information
ProviderEnumerationDate: 09/14/2006
LastUpdateDate: 06/04/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD071421LPAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RI0200XMD071421LPAY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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