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Individual

WALTER ROBERTS PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 EASTDALE AVE N, POUGHKEEPSIE, NY 12603
(845) 437-5000
Mailing address
243 NORTH RD, SUITE 304, POUGHKEEPSIE, NY 12601-1172
(845) 437-5000
(845) 451-7757

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
260079
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03374114
NY
Enumeration date
03/21/2007
Last updated
01/31/2020
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