Provider Demographics
NPI:1033289228
Name:DEEN, DARWIN D JR (MD)
Entity Type:Individual
Prefix:
First Name:DARWIN
Middle Name:D
Last Name:DEEN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:DARWIN
Other - Middle Name:D
Other - Last Name:DEEN
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:51 N. 39TH STREET
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:215-662-8777
Mailing Address - Fax:215-243-3290
Practice Address - Street 1:51 N. 39TH STREET
Practice Address - Street 2:7TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-662-8777
Practice Address - Fax:215-243-3290
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY151481207Q00000X
PAMD443110207Q00000X
PAPAK000167171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No171100000XOther Service ProvidersAcupuncturist