Provider Demographics
NPI:1114120565
Name:LOEW, DARREN EDWARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:EDWARD
Last Name:LOEW
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 WALTER E FORAN BLVD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4664
Mailing Address - Country:US
Mailing Address - Phone:908-782-7626
Mailing Address - Fax:908-782-7688
Practice Address - Street 1:4 WALTER E FORAN BLVD
Practice Address - Street 2:SUITE 205
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4664
Practice Address - Country:US
Practice Address - Phone:908-782-7626
Practice Address - Fax:908-782-7688
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI211401223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics