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Individual
DR. SUSAN M. PARKS
Active
Individual
DR. SUSAN M. PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-060603-L
PA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
MD060603L
PA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
MD060603L
PA
207V00000X
Obstetrics & Gynecology Physician
MD-060603-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001719355
—
PA
05
—
0052949
—
NJ
Enumeration date
07/17/2006
Last updated
06/10/2014
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