MEDICARE: JOSEPH LOUGHRAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	C10002436	DE

General Provider Information

NPI Number	:	1659358232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH LOUGHRAN M.D.

Provider Business Mailing Address
First Line	:	292 LONGVIEW LN
Second Line	:
City	:	KENNETT SQUARE
State	:	PA
Zip	:	19348-1752
Country	:	US
Telephone Number	:	302-479-8464
Fax Number	:

Provider Business Practice Location Address
First Line	:	3411 SILVERSIDE RD
Second Line	:	WEBSTER BUILDING, SUITE 103
City	:	WILMINGTON
State	:	DE
Zip	:	19810-4812
Country	:	US
Telephone Number	:	302-479-8464
Fax Number	:	302-479-8463

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	04/04/2008

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