Provider Demographics
NPI:1588430730
Name:DAR MEDICAL PERSONAL CORPORATION
Entity type:Organization
Organization Name:DAR MEDICAL PERSONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-885-5491
Mailing Address - Street 1:36 RIVER ST APT 150
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-8368
Mailing Address - Country:US
Mailing Address - Phone:631-885-5491
Mailing Address - Fax:631-350-0444
Practice Address - Street 1:36 RIVER ST APT 150
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-8368
Practice Address - Country:US
Practice Address - Phone:631-885-5491
Practice Address - Fax:631-350-0444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty