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1275114878
TAJ DARRALLE SHORTER
NEWARK, DE
NPI
1275114878
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 055418467)
Enumeration Date
2021-04-16
Last Update Date
2021-04-16
Business Address
TAJ DARRALLE SHORTER MD
4755 OGLETOWN STANTON RD
NEWARK, DE 19718-2200
Phone number: 302-733-3901
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Mailing Address
TAJ DARRALLE SHORTER MD
PO BOX 6001
NEWARK, DE 19714-6001
Phone number:
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