Individual
DR. THEODORE MICHAEL PARSONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
132 S 10TH ST, SUITE 285K, PHILADELPHIA, PA 19107-5244
(215) 503-5642
Mailing address
132 S 10TH ST, SUITE 285K, PHILADELPHIA, PA 19107-5244
(215) 503-5642
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
11116
MT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD447990
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0341428
—
NJ
05
—
102786480
—
PA
Enumeration date
07/17/2006
Last updated
10/09/2013
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