MEDICARE: JAMES 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	C10003043	DE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110035431	OTHER	DE	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932186525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES LOUGHRAN M.D.

Provider Business Mailing Address
First Line	:	71 OMEGA DR
Second Line	:	BUILDING D
City	:	NEWARK
State	:	DE
Zip	:	19713-2063
Country	:	US
Telephone Number	:	302-283-3300
Fax Number	:	302-283-3321

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	:	10/25/2007

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Directions to “ JAMES LOUGHRAN M.D.” Practice Location

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