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Darrell Peter Shoulars, MA,MA
Developmental Disabilities Clinic/Center in Newark, New Jersey
NPI 1609422393

Darrell Peter Shoulars is a Developmental Disabilities Clinic/Center based in Newark, NJ and is specialized in Developmental Disabilities. Darrell Peter Shoulars practices in Newark, NJ and has the professional credentials of MA,MA. The NPI Number for Darrell Peter Shoulars is 1609422393 and holds a License No. 778909 (New Jersey).

The current practice location address for Darrell Peter Shoulars is 10 N End Ter, Newark, NJ and can be reached out via phone at 862-704-3524. You can also correspond with Darrell Peter Shoulars through the mailing address at 10 N END TER, NEWARK, NJ - 07104-4404 (mailing address contact number: 862-704-3524).

Location: 10 N End Ter, Newark, NJ, 07104-4404
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609422393
Provider Name
Darrell Peter Shoulars
Credential
MA,MA
Provider Entity Type
Individual
Gender
Male
Address
10 N End Ter, Newark, NJ, 07104-4404
Phone Number
862-704-3524
Fax Number
Provider Enumeration Date
08/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10 N End Ter
City
Newark
State
New Jersey
Zip
07104-4404
Phone Number
862-704-3524
Fax Number
person
Provider Business Mailing Address Details
Address
10 N End Ter
City
Newark
State
New Jersey
Zip
07104-4404
Phone Number
862-704-3524
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
778909 (New Jersey)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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