Basic Information
| Provider Information | |||||||||
| NPI: | 1659358232 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LOUGHRAN | ||||||||
| FirstName: | JOSEPH | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 292 LONGVIEW LN | ||||||||
| Address2: | |||||||||
| City: | KENNETT SQUARE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193481752 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3024798464 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3411 SILVERSIDE RD | ||||||||
| Address2: | WEBSTER BUILDING, SUITE 103 | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198104812 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3024798464 | ||||||||
| FaxNumber: | 3024798463 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/27/2005 | ||||||||
| LastUpdateDate: | 04/04/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | C10002436 | DE | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.