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NPI Code Detail

MEDICARE: DR. PAUL J. PARKER M.D.

MEDICARE:  DR. PAUL J. PARKER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician042-0009376VT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14798451OTHERCIGNA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
300068257OTHERVTBLUECROSSBLUESHIELD
44142307OTHERMVP HEALTHCARE

General Provider Information

NPI Number : 1811994593
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PAUL J. PARKER M.D.
Provider Business Mailing Address
First Line : 12 BURNETT CT
Second Line :
City : RICHMOND
State : VT
Zip : 05477-4410
Country : US
Telephone Number : 802-434-5090
Fax Number : 802-329-2144
Provider Business Practice Location Address
First Line : 12 BURNETT CT
Second Line :
City : RICHMOND
State : VT
Zip : 05477-4410
Country : US
Telephone Number : 802-434-5090
Fax Number : 802-329-2144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/08/2007

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Directions to “ DR. PAUL J. PARKER M.D.” Practice Location

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