Individual provider · NPI-1

Darin Gregory Wiggins, MD

Emergency Medicine · Southampton, NY

NPI number1043224173
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1043224173
Entity type
Individual (NPI-1)
Name
Darin Gregory Wiggins
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 27, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine207314NYYes

Practice location

240 Meeting House Ln
Southampton, NY 11968-5009

Phone 631-726-8420

Mailing address

Po Box 955
Port Jefferson Station, NY 11776-0808

Phone 631-979-4400 · Fax 631-979-4475

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