Individual
DR. PAUL M PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
122 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4038
(201) 967-1212
Mailing address
PO BOX 869336, PLANO, TX 75086-9336
(972) 519-1940
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA03647700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240003952
MEDICARE RAILROAD
NJ
Enumeration date
02/14/2006
Last updated
04/23/2008
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