Healthcare Provider Details

I. General information

NPI: 1427089895
Provider Name (Legal Business Name): JOHN S PARRY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 04/15/2021
Certification Date: 04/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 CARLISLE PIKE
CAMP HILL PA
17011-4132
US

IV. Provider business mailing address

4400 CARLISLE PIKE
CAMP HILL PA
17011-4132
US

V. Phone/Fax

Practice location:
  • Phone: 717-975-9800
  • Fax: 717-975-5509
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD025560E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberMD025560E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: