Individual
MR. TIMOTHY GLENN PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9000 FRANKLIN SQUARE DR, DEPARTMENT OF PEDIATRICS, BALTIMORE, MD 21237-3901
(443) 777-7128
(443) 777-7130
Mailing address
9000 FRANKLIN SQUARE DR, DEPARTMENT OF PEDIATRICS, BALTIMORE, MD 21237-3901
(443) 777-7128
(443) 777-7130
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C01309
MD
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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