Provider Demographics
NPI:1154108652
Name:BLOW, DARNELL JR
Entity type:Individual
Prefix:
First Name:DARNELL
Middle Name:
Last Name:BLOW
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 BABCOCK LN
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-1603
Mailing Address - Country:US
Mailing Address - Phone:609-638-5135
Mailing Address - Fax:
Practice Address - Street 1:41 BABCOCK LN
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1603
Practice Address - Country:US
Practice Address - Phone:609-638-5135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)