Organization
DR MICHELE PARKER DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELE PARKER DPM (PRESIDENT)
(908) 351-1626
Entity
Organization
Contact information
Practice address
1156 LIBERTY AVE, HILLSIDE, NJ 07205-2142
(908) 351-1626
Mailing address
1156 LIBERTY AVE, HILLSIDE, NJ 07205-2142
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3011704-01
—
NJ
Enumeration date
09/20/2007
Last updated
01/28/2010
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