MEDICARE: DR. DARREN R. LINKIN MD

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	MD071421L	PA
2	207RI0200X	Infectious Disease Physician	MD071421L	PA

General Provider Information

NPI Number	:	1104921105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARREN R. LINKIN MD

Provider Business Mailing Address
First Line	:	51 NORTH 39TH STREET
Second Line	:	3910 BUILDING, 2ND FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-2640
Country	:	US
Telephone Number	:	215-662-9990
Fax Number	:	215-823-5168

Provider Business Practice Location Address
First Line	:	51 NORTH 39TH STREET
Second Line	:	3910 BUILDING, 2ND FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-2640
Country	:	US
Telephone Number	:	215-662-9990
Fax Number	:	215-823-5168

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

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	06/04/2012

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