Healthcare Provider Details
I. General information
NPI: 1073186078
Provider Name (Legal Business Name): PARSLEY MEDICAL GROUP DE PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/19/2021
Last Update Date: 07/19/2021
Certification Date: 07/19/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
221 N BROAD ST STE 3A
MIDDLETOWN DE
19709-1070
US
IV. Provider business mailing address
126 5TH AVE FL 2
NEW YORK NY
10011-5631
US
V. Phone/Fax
- Phone: 833-447-2775
- Fax:
- Phone: 833-447-2775
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ELIZABETH
ZAPP
Title or Position: OWNER
Credential: MD
Phone: 833-447-2775